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The Clinical Courses and Prognosis of Cirrhotic Patients after First Acute Decompensation: Prospective Cohort Study.

Jung Hee KimMyoung-Kuk JangDo Seon SongHee Yeon KimEileen L YoonSeong Hee KangYoung-Kul JungJung Hyun KwonSung Won LeeSeul Ki HanYoung ChangSoung Won JeongJeong-Ju YooYoung-Joo JinGab Jin CheonByung Seok KimYeon Seok SeoHyoungsu KimJi-Won ParkTae-Hyung KimDong Hyun SinnWoo Jin ChungHwi Young KimHan-Ah LeeSeung Woo NamIn Hee KimJi Hoon KimHee Bok ChaeJoo Hyun SohnJu Yeon ChoJung Gil ParkHyun Chin ChoYun Joon KimJin Mo YangKi-Tae SukMoon-Young KimSang Gyune KimHyung Joon YimWon KimJae-Young JangDong Joon Kimnull null
Published in: Diagnostics (Basel, Switzerland) (2023)
Cirrhotic patients with first AD who present as non-variceal GI bleeding and HE can easily relapse. Interestingly, the occurrence of AD with organ failure within 3 months of first AD (pre ACLF) has worse prognosis compared with the occurrence of organ failure at first AD (ACLF). In particular, cirrhotic patients with viral hepatitis with/without alcohol consumption showed poor prognosis compared to other aetiologies. Therefore, patients with ACLF after AD within 3 months should be treated more carefully and definitive treatment through LT should be considered.
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