Review

Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modifications

Asim Kichloo, MD, Michael Aljadah, MD, Michael Albosta, MD, Zain El-Amir, MD, Ghazaleh Goldar, MD, Muhammed Zatmar Khan, MD, Dushyant Singh Dahiya, MD and Farah Wani, MD
Cleveland Clinic Journal of Medicine November 2023, 90 (11) 693-701; DOI: https://doi.org/10.3949/ccjm.90a.21043

ABSTRACT

For patients with decompensated cirrhosis, health maintenance is critical to improve survival rates and prevent adverse outcomes. We review the primary care management of cirrhosis and its complications, such as esophageal varices, hepatocellular carcinoma, and chemical or medication exposures. We also highlight specific immunizations and lifestyle modifications to prevent decompensation, and we summarize current screening guidelines.

View Full Text
  1. Asim Kichloo, MD
  1. Department of Internal Medicine, Samaritan Medical Center, Watertown, NY; Associate Professor of Medicine, Lake Erie College of Osteopathic Medicine (LECOM), Erie, PA
  1. Michael Aljadah, MD⇑
  1. Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI
  1. Address:
    Michael Aljadah, MD, Department of Internal Medicine, Medical College of Wisconsin, 7400 W. State Street, #416, Milwaukee, WI 53213; Aljadah.michael{at}gmail.com
  1. Michael Albosta, MD
  1. Department of Internal Medicine, University of Miami, Miami, FL
  1. Zain El-Amir, MD
  1. Department of Internal Medicine, University of Michigan, Ann Arbor, MI
  1. Ghazaleh Goldar, MD
  1. Department of Cardiology, University of Iowa Health Care, Iowa City, IA
  1. Muhammed Zatmar Khan, MD
  1. Department of Medicine, Virginia Commonwealth University Health System, Henrico, VA
  1. Dushyant Singh Dahiya, MD
  1. Department of Medicine, Division of Gastroenterology, University of Kansas Medical Center, Kansas City, KS
  1. Farah Wani, MD
  1. Department of Family Medicine, Samaritan Medical Center, Watertown, NY

ABSTRACT

For patients with decompensated cirrhosis, health maintenance is critical to improve survival rates and prevent adverse outcomes. We review the primary care management of cirrhosis and its complications, such as esophageal varices, hepatocellular carcinoma, and chemical or medication exposures. We also highlight specific immunizations and lifestyle modifications to prevent decompensation, and we summarize current screening guidelines.

View Full Text
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Subjects