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The Impact of GI Consultation on Clinical Outcomes in Patients with Hepatic Encephalopathy

A retrospective evaluation was done to evaluate the impact of gastroenterology (GI) consultation on clinical outcomes in patients hospitalized with hepatic encephalopathy (HE). The study involved 425 individuals hospitalized to a tertiary care hospital between January 2013 and April 2018. 236 of these individuals obtained a GI consult for HE. Patients who obtained a GI visit were found to be younger and to have higher Model For End-Stage Liver Disease-sodium (MELD-Na) scores than those who did not have a GI consult. The causes of HE also differed between the two groups, with more spontaneous bacterial peritonitis (SBP) and gastrointestinal bleeding (GIB) identified in the GI consult group, whereas lactulose non-adherence was more prevalent in the no consult group.

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