Cirrhosis, Hepatic Encephalopathy
Conditions
Brief summary
Hepatic encephalopathy (HE) is an important complication of liver cirrhosis. Lactulose is a first line treatment for HE, but the adherence to this treatment is relatively low, due to side effects such as diarrhea, distention, etc.
Detailed description
Lactulose is a first line treatment for HE, but the adherence to this treatment is relatively low due to side effects. Lactulose-paraffin recently available in the market can be used for the treatment of HE, and possibly have fewer side effects. The aim of this study was to compare the adherence of the treatment of lactulose and lactulose-paraffin.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Liver cirrhosis * History of an event of hepatic encephalopathy. * Ambulatory patients
Exclusion criteria
* Alcoholism with active ingest of alcohol in the last 6 months * Labour turn-overs * Pregnancy * Personal history of surgery in the last 4 weeks * Spontaneous bacterial Peritonitis * Use of neuropsychiatric drugs * Neuropsychiatric disorders (Schizophrenia, bipolar disorder, major depression, dementia and Attention-deficit hyperactivity disorder) * Thyroid disorders without replacement therapy * Renal failure * Hepatic or renal transplant * Personal history of hepatocellular carcinoma * Placement of transjugular intrahepatic portosystemic shunt * Use of a probiotic in the last 6 month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to treatment | 6 months | Provide evidence of better adherence to treatment with lactulose-paraffin in cirrhotic patients with a history of hepatic encephalopathy, which should be reflected in fewer hospitalizations, lower costs and better quality life. |
Countries
Mexico