Don’t continue treatment for hepatic encephalopathy indefinitely after an initial episode with an identifiable precipitant.
|Rationale and Comments:||In circumstances where the precipitating factors are identified and well-controlled (e.g., recurrent infections, variceal bleeding) or liver function or nutritional status improved, prophylactic therapy may be discontinued.|
|References:||• Amodio P, et al. Practice Guidelines Committee of the American Association for the Study of Liver Diseases. Hepatic encephalopathy in chronic liver disease. Hepatology. 2014; [In Press].