Pathogenesis of Hepatic Encephalopathy

Hepatic encephalopathy can be a serious complication of acute liver failure and chronic liver diseases, predominantly liver cirrhosis. Hyperammonemia plays the most important role in the pathogenesis of hepatic encephalopathy. The brain-blood barrier disturbances, changes in neurotransmission, neuro...

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Main Authors: Irena Ciećko-Michalska, Małgorzata Szczepanek, Agnieszka Słowik, Tomasz Mach
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/642108
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author Irena Ciećko-Michalska
Małgorzata Szczepanek
Agnieszka Słowik
Tomasz Mach
author_facet Irena Ciećko-Michalska
Małgorzata Szczepanek
Agnieszka Słowik
Tomasz Mach
author_sort Irena Ciećko-Michalska
collection DOAJ
description Hepatic encephalopathy can be a serious complication of acute liver failure and chronic liver diseases, predominantly liver cirrhosis. Hyperammonemia plays the most important role in the pathogenesis of hepatic encephalopathy. The brain-blood barrier disturbances, changes in neurotransmission, neuroinflammation, oxidative stress, GABA-ergic or benzodiazepine pathway abnormalities, manganese neurotoxicity, brain energetic disturbances, and brain blood flow abnormalities are considered to be involved in the development of hepatic encephalopathy. The influence of small intestine bacterial overgrowth (SIBO) on the induction of minimal hepatic encephalopathy is recently emphasized. The aim of this paper is to present the current views on the pathogenesis of hepatic encephalopathy.
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institution Kabale University
issn 1687-6121
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publishDate 2012-01-01
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series Gastroenterology Research and Practice
spelling doaj-art-0d3ad78c4b964551b229bc12c68a75dc2025-02-03T01:30:12ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/642108642108Pathogenesis of Hepatic EncephalopathyIrena Ciećko-Michalska0Małgorzata Szczepanek1Agnieszka Słowik2Tomasz Mach3Department of Gastroenterology, Hepatology and Infectious Diseases, Jagiellonian University Medical College, Sniadeckich Street 5, 31-531 Krakow, PolandDepartment of Gastroenterology, Hepatology and Infectious Diseases, Jagiellonian University Medical College, Sniadeckich Street 5, 31-531 Krakow, PolandDepartment of Neurology, Jagiellonian University Medical College, Sniadeckich Street 5, 31-531 Krakow, PolandDepartment of Gastroenterology, Hepatology and Infectious Diseases, Jagiellonian University Medical College, Sniadeckich Street 5, 31-531 Krakow, PolandHepatic encephalopathy can be a serious complication of acute liver failure and chronic liver diseases, predominantly liver cirrhosis. Hyperammonemia plays the most important role in the pathogenesis of hepatic encephalopathy. The brain-blood barrier disturbances, changes in neurotransmission, neuroinflammation, oxidative stress, GABA-ergic or benzodiazepine pathway abnormalities, manganese neurotoxicity, brain energetic disturbances, and brain blood flow abnormalities are considered to be involved in the development of hepatic encephalopathy. The influence of small intestine bacterial overgrowth (SIBO) on the induction of minimal hepatic encephalopathy is recently emphasized. The aim of this paper is to present the current views on the pathogenesis of hepatic encephalopathy.http://dx.doi.org/10.1155/2012/642108
spellingShingle Irena Ciećko-Michalska
Małgorzata Szczepanek
Agnieszka Słowik
Tomasz Mach
Pathogenesis of Hepatic Encephalopathy
Gastroenterology Research and Practice
title Pathogenesis of Hepatic Encephalopathy
title_full Pathogenesis of Hepatic Encephalopathy
title_fullStr Pathogenesis of Hepatic Encephalopathy
title_full_unstemmed Pathogenesis of Hepatic Encephalopathy
title_short Pathogenesis of Hepatic Encephalopathy
title_sort pathogenesis of hepatic encephalopathy
url http://dx.doi.org/10.1155/2012/642108
work_keys_str_mv AT irenacieckomichalska pathogenesisofhepaticencephalopathy
AT małgorzataszczepanek pathogenesisofhepaticencephalopathy
AT agnieszkasłowik pathogenesisofhepaticencephalopathy
AT tomaszmach pathogenesisofhepaticencephalopathy