How many times must a patient with hepatic encephalopathy poop?
Turns out...we don’t know
In this genius study by @doctornikkid, there was no diff in cognitive function between those with 2-3 💩or less
linkinghub.elsevier.com/retrieve/pii/S… #livertwitter #cirrhosis
Turns out...we don’t know
In this genius study by @doctornikkid, there was no diff in cognitive function between those with 2-3 💩or less
linkinghub.elsevier.com/retrieve/pii/S… #livertwitter #cirrhosis
What this tells me:
1️⃣lets not torture our patients with more Lactulose if they don’t need
2️⃣cog function *as we measure it* does not matter but QOL, functioning/PROs, risk of overt HE do - let’s study them
3️⃣develop stool/blood/PRO biomarkers of Lactulose response
1️⃣lets not torture our patients with more Lactulose if they don’t need
2️⃣cog function *as we measure it* does not matter but QOL, functioning/PROs, risk of overt HE do - let’s study them
3️⃣develop stool/blood/PRO biomarkers of Lactulose response
And.... I forgot to tag @JasmohanBajaj, senior author, who consistently fosters revolutions in how we think about and manage hepatic encephalopathy
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