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Management delle infezioni in corso di cirrosi

Bacterial Infections in Cirrhosis. A Position Statement based on the EASL Special Conference 2013.

Jalan R, Fernandez J, Wiest R, Schnabl B, Moreau R, Angeli P, Stadlbauer V, Thierry Gustot T, Bernardi M, Canton R1, Agustin Albillos A, Lammert F, Wilmer A, Mookerjee R, Vila J, Garcia-Martinez R, Wendon J, Such J, Cordoba J, Sanyal A, Garcia-Tsao G, Arroyo V, Burroughs A, Ginès P. J Hepatol. 2014 Feb 11 [Epub ahead of print]

 

Bacterial infections are very common and represent one of the  most important reasons of progression of liver failure, development of liver-related complications, and mortality in patients with cirrhosis. In fact, bacterial infections may be a triggering factor for the occurrence of gastrointestinal bleeding, hypervolemic hyponatremia, hepatic encephalopathy, kidney failure, and development of acute-on-chronic liver failure.

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Management del Barrett

British Society of Gastroenterology guidelines on the diagnosis and management of Barrett's oesophagus .Rebecca C Fitzgerald, Massimiliano di Pietro, Krish Ragunath, et Al Gut 2014;63:7-42

These guidelines provide a practical and evidence-based resource for the management of patients with Barrett's oesophagus and related early neoplasia. The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument was followed to provide a methodological strategy for the guideline development.

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