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Alcoholic liver disease

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405:. Inflammatory cytokines (TNF-alpha, IL-6 and IL-8) are thought to be essential in the initiation and perpetuation of liver injury and cytotoxic hepatomegaly by inducing apoptosis and severe hepatotoxicity. One possible mechanism for the increased activity of TNF-α is the increased intestinal permeability due to liver disease. This facilitates the absorption of the gut-produced endotoxin into the portal circulation. The Kupffer cells of the liver then phagocytose endotoxin, stimulating the release of TNF-α. TNF-α then triggers apoptotic pathways through the activation of caspases, resulting in cell death. 650:
same as those for other types of liver disease, except for a 6-month sobriety prerequisite along with psychiatric evaluation and rehabilitation assistance. Specific requirements vary among the transplant centers. Relapse to alcohol use after transplant listing results in delisting. Re-listing is possible in many institutions, but only after 3–6 months of sobriety. There are limited data on transplant survival in patients transplanted for acute alcoholic hepatitis, but it is believed to be similar to that in nonacute ALD, non-ALD, and alcoholic hepatitis with
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levels are found to be elevated. These usually reflect alcoholic hepatic steatosis. Microvesicular and macrovesicular steatosis with inflammation are seen in liver biopsy specimens. These histologic features of ALD are indistinguishable from those of nonalcoholic fatty liver disease. Steatosis usually resolves after discontinuation of alcohol use. Continuation of alcohol use will result in a higher risk of progression of liver disease and cirrhosis. In patients with acute alcoholic hepatitis, clinical manifestations include fever, jaundice,
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accuracy in 30-day (MELD > 11) and 90-day (MELD > 21) mortality. Liver cirrhosis develops in 6–14% of those who consume more than 60–80 g of alcohol daily for men and more than 20 g daily for women. Even in those who drink more than 120 g daily, only 13.5% will experience a serious alcohol-related liver injury. Nevertheless, alcohol-related mortality was the third leading cause of death in 2003 in the United States. Worldwide mortality is estimated to be 150,000 per year.
39: 185: US fl oz or 44 mL hard liquor, 5 US fl oz or 150 mL wine, 12 US fl oz or 350 mL beer; drinking a six-pack of 5% ABV beer daily would be 84 g and just over the upper limit) for 20 years or more in men, or 20 g/day for women significantly increases the risk of hepatitis and fibrosis by 6% to 41%. 679:
has been used to predict short-term mortality (i.e., MDF ≥ 32 associated with spontaneous survival of 50–65% without corticosteroid therapy, and MDF < 32 associated with spontaneous survival of 90%). The Model for End-Stage Liver Disease (MELD) score has also been found to have similar predictive
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Alcoholic hepatitis is characterized by the inflammation of hepatocytes. Between 10% and 35% of heavy drinkers develop alcoholic hepatitis (NIAAA, 1993). While development of hepatitis is not directly related to the dose of alcohol, some people seem more prone to this reaction than others. This is
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Although in rare cases liver cirrhosis is reversible, the disease process remains mostly irreversible. Liver transplantation remains the only definitive therapy. Today, survival after liver transplantation is similar for people with ALD and non-ALD. The requirements for transplant listing are the
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In the early stages, patients with ALD exhibit subtle and often no abnormal physical findings. It is usually not until development of advanced liver disease that stigmata of chronic liver disease become apparent. Early ALD is usually discovered during routine health examinations when liver enzyme
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infiltration in the area around the veins. Mallory bodies, which are also present in other liver diseases, are condensations of cytokeratin components in the hepatocyte cytoplasm and do not contribute to liver injury. Up to 70% of patients with moderate to severe alcoholic hepatitis already have
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Sex: Women are twice as susceptible to alcohol-related liver disease, and may develop alcoholic liver disease with shorter durations and doses of chronic consumption. The lesser amount of alcohol dehydrogenase secreted in the gut, higher proportion of body fat in women, and changes in alcohol
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Genetic factors: Genetic factors predispose both to alcoholism and to alcoholic liver disease. Both monozygotic twins are more likely to be alcoholics and to develop liver cirrhosis than both dizygotic twins. Polymorphisms in the enzymes involved in the metabolism of alcohol, such as ADH,
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Rambaldi A, Jacobs BP, Iaquinto G, Gluud C (November 2005). "Milk thistle for alcoholic and/or hepatitis B or C liver diseases—a systematic cochrane hepato-biliary group review with meta-analyses of randomized clinical trials".
520:, and possible hepatic decompensation with hepatic encephalopathy, variceal bleeding, and ascites accumulation. Tender hepatomegaly may be present, but abdominal pain is unusual. Occasionally, the patient may be asymptomatic. 674:
occurs at 10–20% per year, and 70% will eventually develop cirrhosis. Despite cessation of alcohol use, only 10% will have normalization of histology and serum liver enzyme levels. As previously noted, the
209:, CYP4502E1, mitochondrial dysfunction, and cytokine polymorphism may partly explain this genetic component. However, no specific polymorphisms have currently been firmly linked to alcoholic liver disease. 597:
Not drinking further alcohol is the most important part of treatment. People with chronic HCV infection should abstain from any alcohol intake, due to the risk for rapid acceleration of liver disease.
136:) will develop in any individual who consumes a large quantity of alcoholic beverages over a long period of time, this process is transient and reversible. More than 90% of all heavy drinkers develop 568:
level is reduced in alcoholic patients due to decreased intestinal absorption, increased bone marrow requirement for folate in the presence of alcohol, and increased urinary loss. The magnitude of
3712: 711: 503:. The late stages of cirrhosis may look similar medically, regardless of cause. This phenomenon is termed the "final common pathway" for the disease. Fatty change and alcoholic hepatitis with 459:(yellowing), liver enlargement, and pain and tenderness from the structural changes in damaged liver architecture. Without total abstinence from alcohol use, cirrhosis will eventually lead to 195:
Ethnicity: Higher rates of alcohol-related liver disease, unrelated to differences in amounts of alcohol consumed, are seen in African-American and Hispanic males compared to Caucasian males.
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Dunn, W; Jamil, LH; Brown, LS; Wiesner, RH; Kim, WR; Menon, KV; Malinchoc, M; Kamath, PS; Shah, V (February 2005). "MELD accurately predicts mortality in patients with alcoholic hepatitis".
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Cederbaum AI, Department of Pharmacology and Systems Therapeutics, Box 1603, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, NY 10029, United States (March 2010).
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The mechanism of ALD is not completely understood. 80% of alcohol passes through the liver to be detoxified. Chronic consumption of alcohol results in the secretion of pro-inflammatory
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Ferenci P, Dragosics B, Dittrich H, Frank H, Benda L, Lochs H, et al. (1989). "Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver".
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while a decreased NAD level results in decreased fatty acid oxidation. Subsequently, the higher levels of fatty acids signal the liver cells to compound it to
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of liver cells. Why this occurs in only a few individuals is still unclear. Additionally, the liver has tremendous capacity to regenerate and even when 75% of
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can be reversible. The later stages of fibrosis and cirrhosis tend to be irreversible, but can usually be contained with abstinence for long periods of time.
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Neuberger, J; Schulz, KH; Day, C; Fleig, W; Berlakovich, GA; Berenguer, M; Pageaux, GP; Lucey, M; Horsmans, Y; Burroughs, A; Hockerstedt, K (January 2002).
2546: 676: 651: 3028: 1052: 750: 1989: 2883: 2819: 3256: 2343: 1091: 536:(ALT) ratio is greater than 2:1. AST and ALT levels are almost always less than 500. The elevated AST to ALT ratio is due to deficiency of 1060: 1982: 4188: 3469: 2876: 2850: 2697: 2146: 218:
Diet: Malnutrition, particularly vitamin A and E deficiencies, can worsen alcohol-induced liver damage by preventing regeneration of
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steatosis) throughout the liver and can begin to occur after a few days of heavy drinking. Alcohol is metabolized by
1453:"Hepatoprotective effects of S -adenosyl-L-methionine against alcohol- and cytochrome P450 2E1-induced liver injury" 4183: 3427: 3356: 2404: 2117: 2071: 2022: 2008: 609:. Corticosteroids are sometimes used; however, this is recommended only when severe liver inflammation is present. 553: 540:, which is required in the ALT enzyme synthetic pathway. Furthermore, alcohol metabolite–induced injury of hepatic 529: 1417: 312:. This can be seen as fatty globules under the microscope. Alcoholism causes development of large fatty globules ( 3700: 3656: 3609: 3415: 3033: 2713: 2507: 3726: 1694:"Management of the Cirrhotic Patient Before Liver Transplantation: The Role of the Referring Gastroenterologist" 188:
Pattern of drinking: Drinking outside of meal times increases up to 3 times the risk of alcoholic liver disease.
4046: 3361: 3319: 3132: 3007: 2994: 2935: 2272: 2236: 2170: 2154: 2107: 2080: 1933: 533: 2964: 222:. This is particularly a concern as alcoholics are usually malnourished because of a poor diet, anorexia, and 3971: 3489: 3281: 2940: 2692: 2324: 549: 4051: 3775: 3758: 3168: 3142: 3018: 2969: 2930: 2908: 2900: 2778: 2739: 2570: 2468: 2348: 2288: 2267: 2226: 2215: 2159: 2062: 2027: 945: 484: 333: 223: 1003: 3983: 3891: 3852: 3780: 2473: 2447: 2257: 2196: 616: 440: 325: 321: 235: 3902: 3083: 431:(cell death). Between 10% and 20% of heavy drinkers will develop cirrhosis of the liver (NIAAA, 1993). 615:
has been investigated as a possible treatment, with ambiguous results. One review claimed benefit for
483:(heavy abdominal swelling due to buildup of fluids in the tissues) and other complications, including 4022: 3966: 3787: 3683: 3266: 3261: 3095: 3013: 2979: 2729: 2502: 2242: 2084: 557: 488: 367: 950: 4116: 3926: 3819: 3802: 3763: 3736: 3688: 3531: 3508: 3501: 3450: 3422: 3344: 3339: 3334: 3251: 2762: 2647: 2591: 2581: 2424: 2335: 2189: 2184: 2076: 2047: 1922: 667: 537: 464: 387: 299: 141: 133: 106: 4128: 3993: 3976: 3961: 3948: 3931: 3797: 3324: 3296: 3056: 2952: 2917: 2576: 2518: 2307: 1815: 1527: 1416:
Bjelakovic G, Gluud LL, Nikolova D, Bjelakovic M, Nagorni A, Gluud C (2011). Bjelakovic G (ed.).
1398: 1176: 971: 742: 264: 3432: 3230: 1147:"Alcoholic liver disease: proposed recommendations for the American College of Gastroenterology" 4106: 4087: 3460: 2619: 2207: 2005: 1962: 1866: 1807: 1772: 1723: 1705: 1674: 1625: 1576: 1519: 1484: 1433: 1390: 1354: 1319: 1270: 1214: 1168: 1087: 1044: 1025: 963: 918: 867: 784: 734: 317: 61: 4153: 4073: 4068: 4058: 3920: 3792: 3720: 3538: 3445: 3440: 3370: 3329: 3137: 3102: 2809: 2293: 1856: 1846: 1799: 1762: 1754: 1713: 1664: 1656: 1615: 1607: 1566: 1558: 1511: 1474: 1464: 1425: 1382: 1346: 1309: 1301: 1260: 1250: 1206: 1158: 1015: 955: 908: 898: 857: 847: 726: 635: 573: 260: 201:: A concomitant hepatitis C infection significantly accelerates the process of liver injury. 167:
Quantity of alcohol taken: Consumption of 60–80 g per day (14 g is considered one
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Mandayam S, Jamal MM, Morgan TR (August 2004). "Epidemiology of alcoholic liver disease".
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in Western countries, and is the leading cause of death from excessive drinking. Although
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as well as cofactors, such as concomitant chronic viral hepatitis. Among patients with
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Tilg, H; Day, CP (January 2007). "Management strategies in alcoholic liver disease".
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results in AST isoenzyme release. Other laboratory findings include red blood cell
541: 517: 476: 432: 420: 375: 329: 275: 268: 38: 491:. Cirrhosis can also result from other causes than hazardous alcohol use, such as 1938: 1084:
Uppers, downers, all arounders: physical and mental effects of psychoactive drugs
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Fede, G; Germani, G; Gluud, C; Gurusamy, KS; Burroughs, AK (15 June 2011).
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depletion) reflects severity of liver injury. Histologic features include
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A 2006 Cochrane review did not find evidence sufficient for the use of
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cirrhosis identifiable on biopsy examination at the time of diagnosis.
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P-450 2E1 and the formation of acetaldehyde-protein adducts damage the
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Whitfield, K; Rambaldi, A; Wetterslev, J; Gluud, C (7 October 2009).
777:"The Top Cause of Alcohol-Related Deaths Can Go Undetected for Years" 565: 1004:"Pathogenesis, diagnosis, and treatment of alcoholic liver disease" 641:
Evidence does not support supplemental nutrition in liver disease.
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absorption due to the menstrual cycle may explain this phenomenon.
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due to the increased flow resistance through the damaged liver),
443:. The production of oxidants derived from NADPH oxi- dase and/or 885:
Iida-Ueno, A; Enomoto, M; Tamori, A; Kawada, N (21 April 2017).
359: 206: 2872: 1978: 836:"Definition, epidemiology and magnitude of alcoholic hepatitis" 435:
may be responsible for alcohol-induced fibrosis by stimulating
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The effects of anti-tumor necrosis factor medications such as
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Longstreth, George F.; Zieve, David, eds. (18 October 2009).
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Cirrhosis is a late stage of serious liver disease marked by
378:. These triglycerides accumulate, resulting in fatty liver. 1192: 1190: 463:. Late complications of cirrhosis or liver failure include 1504:
Nature Clinical Practice Gastroenterology & Hepatology
1290:"Anabolic-androgenic steroids for alcoholic liver disease" 630:
are unclear and possibly harmful. Evidence is unclear for
155:, a strict adherence to abstinence is highly recommended. 1197:
Niemelä, O (February 2007). "Biomarkers in alcoholism".
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The prognosis for people with ALD depends on the liver
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O'Shea RS, Dasarathy S, McCullough AJ (January 2010).
887:"Hepatitis B virus infection and alcohol consumption" 479:(due to impaired production of coagulation factors), 1885: 712:"Alcoholic liver disease: AASLD Practice Guidelines" 401:
and the inflammation appears to predispose to liver
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Ashland, Or: CNS Publications. 1049:MedLinePlus: Trusted Health Information for You 1596:"Propylthiouracil for alcoholic liver disease" 1145:McCullough, AJ; O'Connor, JF (November 1998). 528:In people with alcoholic hepatitis, the serum 290:are dead, it continues to function as normal. 2884: 1990: 1743:"Transplantation for alcoholic liver disease" 8: 2990:Esophagogastric junction outflow obstruction 1418:"Antioxidant supplements for liver diseases" 1232: 1230: 1228: 1002:Menon KV, Gores GJ, Shah VH (October 2001). 810:"ARDI Alcohol-Attributable Deaths, US | CDC" 239:Pathogenesis of alcohol induced liver injury 2547:Hallucinogen persisting perception disorder 1649:The Cochrane Database of Systematic Reviews 1600:The Cochrane Database of Systematic Reviews 1551:The Cochrane Database of Systematic Reviews 1294:The Cochrane Database of Systematic Reviews 1121:"What are the early signs of liver damage?" 366:ratio. A higher NADH concentration induces 4010: 3661: 3177: 3029:Esophageal intramural pseudodiverticulosis 2913: 2891: 2877: 2869: 2142: 2135: 1997: 1983: 1975: 1886: 1106: 37: 20: 1860: 1850: 1766: 1717: 1668: 1619: 1570: 1478: 1468: 1313: 1288:Rambaldi, A; Gluud, C (18 October 2006). 1264: 1254: 1162: 1082:Inaba, Darryl; Cohen, William B. (2004). 1019: 997: 995: 993: 991: 989: 987: 985: 949: 912: 902: 861: 851: 705: 703: 701: 699: 697: 695: 693: 140:whilst about 25% develop the more severe 1547:"Pentoxifylline for alcoholic hepatitis" 1151:The American Journal of Gastroenterology 352: 308:, is the accumulation of fatty acids in 2677:Kindling (sedative–hypnotic withdrawal) 1645:"Nutritional support for liver disease" 689: 2820:Chronic solvent-induced encephalopathy 1119:Loyd, Dr. Stephen (15 February 2020). 3257:Small intestinal bacterial overgrowth 2344:Alcohol-induced respiratory reactions 1833:Sheth, M; Riggs, M; Patel, T (2002). 53:showing fatty change, cell necrosis, 7: 1239:"Alcoholic liver disease: treatment" 1063:from the original on 22 January 2010 163:Risk factors known as of 2010 are: 2851:Anabolic-androgenic steroids abuse 2480:Synthetic cannabinoid use disorder 552:> 100) and elevations of serum 93:), is a term that encompasses the 14: 4142:Spontaneous bacterial peritonitis 3989:Exocrine pancreatic insufficiency 2400:Caffeine-induced anxiety disorder 1698:Gastroenterology & Hepatology 1243:World Journal of Gastroenterology 891:World Journal of Gastroenterology 580:, giant mitochondria, hepatocyte 340:, which is finally oxidized into 3887:Secondary sclerosing cholangitis 2453:Cannabinoid hyperemesis syndrome 1387:10.1111/j.1572-0241.2005.00262.x 1164:10.1111/j.1572-0241.1998.00587.x 3128:Gastric antral vascular ectasia 3123:Portal hypertensive gastropathy 3000:Gastroesophageal reflux disease 2410:Caffeine-induced sleep disorder 2302:Fetal alcohol spectrum disorder 1053:US National Library of Medicine 775:Smith, Dana G. (4 March 2024). 3882:Primary sclerosing cholangitis 3732:Hepatic veno-occlusive disease 3554:Solitary rectal ulcer syndrome 2804:Sudden sniffing death syndrome 2459:Intravenous marijuana syndrome 2053:Post-acute-withdrawal syndrome 1661:10.1002/14651858.CD008344.pub2 1612:10.1002/14651858.CD002800.pub3 1563:10.1002/14651858.CD007339.pub2 1430:10.1002/14651858.CD007749.pub2 1306:10.1002/14651858.CD003045.pub2 332:, then further metabolized by 1: 3939:Sphincter of Oddi dysfunction 2631:Opioid-induced endocrinopathy 1759:10.1016/s0168-8278(01)00278-1 1057:National Institutes of Health 87:alcohol-related liver disease 32:Alcohol-related liver disease 3848:Postcholecystectomy syndrome 3367:Intestinal pseudoobstruction 2975:Esophageal motility disorder 2844:Anabolic-androgenic steroids 2371:(alcohol use disorder (AUD)) 2313:Positional alcohol nystagmus 2278:Alcohol-related brain damage 1351:10.1016/0168-8278(89)90083-4 607:androgenic anabolic steroids 2708:Benzodiazepine use disorder 2637:Opioid-induced constipation 2625:Opioid-induced hyperalgesia 2319:Wernicke–Korsakoff syndrome 2283:Alcohol withdrawal syndrome 2072:Substance-related disorders 2037:Substance-induced psychosis 2009:substance-related disorders 840:World Journal of Hepatology 101:overconsumption, including 4207: 3833:Gallstone / Cholelithiasis 3357:Functional colonic disease 3153:Zollinger–Ellison syndrome 2405:Caffeine-induced psychosis 2336:Respiratory tract diseases 2321:(WKS, Korsakoff psychosis) 2118:Combined drug intoxication 1692:Stravitz, R. Todd (2006). 1422:Cochrane Database Syst Rev 554:gamma-glutamyl transferase 530:aspartate aminotransferase 412: 385: 358:). This process generates 297: 151:For patients with chronic 4189:Health effects of alcohol 3034:Acute esophageal necrosis 2714:Benzodiazepine dependence 2698:Benzodiazepine withdrawal 2508:Prenatal cocaine exposure 2171:Gastrointestinal diseases 1256:10.3748/wjg.v20.i36.12934 1211:10.1016/j.cca.2006.08.035 1045:"Alcoholic Liver Disease" 362:, and increases the NADH/ 124:It is the major cause of 45: 36: 3133:Gastric dumping syndrome 3008:Laryngopharyngeal reflux 2995:Diffuse esophageal spasm 2273:Alcoholic polyneuropathy 2237:Alcohol-related dementia 2155:Alcoholic cardiomyopathy 2108:Polysubstance dependence 2081:Psychological dependence 1470:10.3748/wjg.v16.i11.1366 904:10.3748/wjg.v23.i15.2651 834:Basra, Sarpreet (2011). 534:alanine aminotransferase 3749:Alcoholic liver disease 3282:Bile acid malabsorption 3226:Peptic (duodenal) ulcer 2693:Benzodiazepine overdose 2325:Wernicke encephalopathy 2179:Alcoholic liver disease 2147:Cardiovascular diseases 550:mean corpuscular volume 75:Alcoholic liver disease 24:Alcoholic liver disease 3759:Hepatic encephalopathy 3143:Buried bumper syndrome 3074:Peptic (gastric) ulcer 2958:Mallory–Weiss syndrome 2901:human digestive system 2779:Amphetamine dependence 2740:Barbiturate dependence 2571:Green Tobacco Sickness 2469:Amotivational syndrome 2349:Alcoholic lung disease 2289:Alcoholic hallucinosis 2268:Alcoholic hallucinosis 2216:Alcoholic ketoacidosis 2160:Alcohol flush reaction 2028:Substance intoxication 1516:10.1038/ncpgasthep0683 1107:Inaba & Cohen 2004 495:and heavy exposure to 485:hepatic encephalopathy 441:hepatic stellate cells 334:aldehyde dehydrogenase 274:. These factors cause 240: 3984:Pancreatic pseudocyst 3853:Porcelain gallbladder 2965:Zenker's diverticulum 2474:Cannabis use disorder 2197:Auto-brewery syndrome 1852:10.1186/1471-230X-2-2 1747:Journal of Hepatology 1457:World J Gastroenterol 960:10.1055/s-2004-832936 853:10.4254/wjh.v3.i5.108 617:S-adenosyl methionine 477:coagulation disorders 322:alcohol dehydrogenase 238: 199:Hepatitis C infection 4179:Anatomical pathology 3788:Hepatorenal syndrome 3727:Budd–Chiari syndrome 3684:Autoimmune hepatitis 3509:Intestinal adhesions 3267:Short bowel syndrome 3096:Functional dyspepsia 3014:Esophageal stricture 2980:Nutcracker esophagus 2730:Barbiturate overdose 2503:Cocaine intoxication 2243:Alcohol intoxication 2085:Substance dependence 1839:BMC Gastroenterology 1375:Am. J. Gastroenterol 1199:Clinica Chimica Acta 638:may result in harm. 558:alkaline phosphatase 489:hepatorenal syndrome 368:fatty acid synthesis 3927:Choledocholithiasis 3798:Metabolic disorders 3764:Acute liver failure 3737:Portal hypertension 3689:Alcoholic hepatitis 3532:Radiation proctitis 3451:Mesenteric ischemia 3423:Gastroenterocolitis 3252:Blind loop syndrome 3062:MĂ©nĂ©trier's disease 2970:Barrett's esophagus 2763:Stimulant psychosis 2648:Opioid use disorder 2592:Nicotine dependence 2582:Nicotine withdrawal 2425:Caffeine dependence 2185:Alcoholic hepatitis 2077:Physical dependence 2048:Neonatal withdrawal 668:alcoholic hepatitis 619:in disease models. 538:pyridoxal phosphate 524:Laboratory findings 465:portal hypertension 388:Alcoholic hepatitis 382:Alcoholic hepatitis 300:Fatty liver disease 142:alcoholic hepatitis 134:fatty liver disease 107:alcoholic hepatitis 4102:Undefined location 4093:Grynfeltt–Lesshaft 3994:Pancreatic fistula 3977:Pancreatic abscess 3932:Biliary dyskinesia 3903:Mirizzi's syndrome 3404:Large and/or small 3084:Dieulafoy's lesion 2953:Boerhaave syndrome 2577:Nicotine poisoning 2519:Cocaine dependence 2448:Cannabis arteritis 2308:Korsakoff syndrome 2208:Endocrine diseases 1949:External resources 1021:10.4065/76.10.1021 781:The New York Times 756:on 21 October 2014 265:lipid peroxidation 241: 215:(hemochromatosis). 97:manifestations of 4184:Diseases of liver 4166: 4165: 4162: 4161: 4002: 4001: 3604: 3603: 3461:Bowel obstruction 3163: 3162: 2866: 2865: 2620:Opioid withdrawal 2383: 2382: 2357: 2356: 1972: 1971: 1804:10.1002/hep.20503 1463:(11): 1366–1376. 1093:978-0-926544-27-7 897:(15): 2651–2659. 731:10.1002/hep.23258 670:, progression to 393:called alcoholic 304:Fatty change, or 72: 71: 18:Medical condition 4196: 4154:Pneumoperitoneum 4011: 3921:Common bile duct 3803:Wilson's disease 3793:Peliosis hepatis 3662: 3539:Proctalgia fugax 3446:Abdominal angina 3371:Ogilvie syndrome 3320:Pseudomembranous 3178: 3138:Gastric volvulus 3103:Pyloric stenosis 2914: 2899:Diseases of the 2893: 2886: 2879: 2870: 2810:Toluene toxicity 2294:Delirium tremens 2190:Zieve's syndrome 2143: 2136: 1999: 1992: 1985: 1976: 1887: 1875: 1874: 1864: 1854: 1830: 1824: 1823: 1787: 1781: 1780: 1770: 1738: 1732: 1731: 1721: 1689: 1683: 1682: 1672: 1640: 1634: 1633: 1623: 1591: 1585: 1584: 1574: 1542: 1536: 1535: 1499: 1493: 1492: 1482: 1472: 1448: 1442: 1441: 1413: 1407: 1406: 1369: 1363: 1362: 1334: 1328: 1327: 1317: 1285: 1279: 1278: 1268: 1258: 1249:(36): 12934–44. 1234: 1223: 1222: 1194: 1185: 1184: 1166: 1142: 1136: 1135: 1133: 1131: 1116: 1110: 1104: 1098: 1097: 1079: 1073: 1072: 1070: 1068: 1051:. Bethesda, MD: 1040: 1034: 1033: 1023: 999: 980: 979: 953: 938:Semin. Liver Dis 933: 927: 926: 916: 906: 882: 876: 875: 865: 855: 831: 825: 824: 822: 820: 806: 800: 799: 797: 795: 772: 766: 765: 763: 761: 755: 749:. Archived from 716: 707: 636:Propylthiouracil 574:white blood cell 357: 261:oxidative stress 184: 183: 179: 176: 171:in the US, e.g. 67:Gastroenterology 41: 21: 4206: 4205: 4199: 4198: 4197: 4195: 4194: 4193: 4169: 4168: 4167: 4158: 4123: 4112:Internal hernia 3998: 3943: 3908:Biliary fistula 3866: 3857: 3843:Adenomyomatosis 3838:Cholesterolosis 3814: 3808:Hemochromatosis 3679:Viral hepatitis 3651: 3600: 3558: 3544:Rectal prolapse 3513: 3480:Fecal impaction 3470:Intussusception 3433:Crohn's disease 3399: 3382:Toxic megacolon 3294: 3292:Large intestine 3286: 3231:Curling's ulcer 3184: 3182:Small intestine 3171: 3159: 3067:Gastroenteritis 3038: 2903: 2897: 2867: 2862: 2831: 2792: 2785: 2746: 2664: 2655: 2615:Opioid overdose 2598: 2554: 2525: 2486: 2431: 2379: 2353: 2330: 2259: 2252: 2229:system diseases 2228: 2221: 2202: 2165: 2125: 2097: 2091: 2068:Substance abuse 2011: 2003: 1973: 1968: 1967: 1944: 1943: 1898: 1884: 1879: 1878: 1832: 1831: 1827: 1789: 1788: 1784: 1740: 1739: 1735: 1691: 1690: 1686: 1655:(5): CD008344. 1642: 1641: 1637: 1606:(6): CD002800. 1593: 1592: 1588: 1557:(4): CD007339. 1544: 1543: 1539: 1501: 1500: 1496: 1450: 1449: 1445: 1424:(3): CD007749. 1415: 1414: 1410: 1381:(11): 2583–91. 1371: 1370: 1366: 1336: 1335: 1331: 1300:(4): CD003045. 1287: 1286: 1282: 1236: 1235: 1226: 1196: 1195: 1188: 1157:(11): 2022–36. 1144: 1143: 1139: 1129: 1127: 1125:journeypure.com 1118: 1117: 1113: 1105: 1101: 1094: 1081: 1080: 1076: 1066: 1064: 1042: 1041: 1037: 1008:Mayo Clin. Proc 1001: 1000: 983: 951:10.1.1.594.1256 935: 934: 930: 884: 883: 879: 833: 832: 828: 818: 816: 808: 807: 803: 793: 791: 774: 773: 769: 759: 757: 753: 714: 709: 708: 691: 686: 672:liver cirrhosis 660: 647: 645:Transplantation 603: 595: 526: 513: 493:viral hepatitis 417: 411: 390: 384: 354: 349: 347: 302: 296: 282:and eventually 233: 231:Pathophysiology 181: 177: 174: 172: 161: 146:liver cirrhosis 19: 12: 11: 5: 4204: 4203: 4200: 4192: 4191: 4186: 4181: 4171: 4170: 4164: 4163: 4160: 4159: 4157: 4156: 4151: 4149:Hemoperitoneum 4146: 4145: 4144: 4133: 4131: 4125: 4124: 4122: 4121: 4120: 4119: 4114: 4109: 4098: 4097: 4096: 4095: 4090: 4077: 4076: 4071: 4066: 4061: 4056: 4055: 4054: 4049: 4038: 4037: 4032: 4031: 4030: 4019: 4017: 4008: 4004: 4003: 4000: 3999: 3997: 3996: 3991: 3986: 3981: 3980: 3979: 3974: 3969: 3964: 3953: 3951: 3945: 3944: 3942: 3941: 3936: 3935: 3934: 3929: 3916: 3915: 3910: 3905: 3896: 3895: 3894: 3889: 3884: 3873: 3871: 3859: 3858: 3856: 3855: 3850: 3845: 3840: 3835: 3830: 3824: 3822: 3816: 3815: 3813: 3812: 3811: 3810: 3805: 3795: 3790: 3785: 3784: 3783: 3778: 3768: 3767: 3766: 3761: 3751: 3746: 3745: 3744: 3739: 3734: 3729: 3717: 3716: 3715: 3705: 3704: 3703: 3693: 3692: 3691: 3686: 3681: 3670: 3668: 3659: 3653: 3652: 3650: 3649: 3648: 3647: 3637: 3636: 3635: 3630: 3620: 3618:Blood in stool 3614: 3612: 3606: 3605: 3602: 3601: 3599: 3598: 3593: 3591:Anal dysplasia 3588: 3583: 3578: 3568: 3566: 3560: 3559: 3557: 3556: 3551: 3546: 3541: 3536: 3535: 3534: 3523: 3521: 3515: 3514: 3512: 3511: 3506: 3505: 3504: 3494: 3493: 3492: 3482: 3477: 3472: 3467: 3458: 3456:Angiodysplasia 3453: 3448: 3437: 3436: 3435: 3425: 3420: 3419: 3418: 3407: 3405: 3401: 3400: 3398: 3397: 3391:Diverticulosis 3387:Diverticulitis 3384: 3375: 3374: 3373: 3364: 3354: 3349: 3348: 3347: 3342: 3337: 3332: 3327: 3322: 3312: 3306: 3304: 3288: 3287: 3285: 3284: 3279: 3277:Milroy disease 3274: 3269: 3264: 3259: 3254: 3249: 3247:Tropical sprue 3244: 3235: 3234: 3233: 3223: 3222: 3221: 3216: 3211: 3200: 3198: 3175: 3169:Lower GI tract 3165: 3164: 3161: 3160: 3158: 3157: 3156: 3155: 3145: 3140: 3135: 3130: 3125: 3120: 3115: 3110: 3105: 3100: 3099: 3098: 3088: 3087: 3086: 3081: 3071: 3070: 3069: 3064: 3059: 3048: 3046: 3040: 3039: 3037: 3036: 3031: 3026: 3021: 3016: 3011: 3005: 3004: 3003: 2997: 2992: 2987: 2982: 2972: 2967: 2962: 2961: 2960: 2955: 2945: 2944: 2943: 2938: 2933: 2922: 2920: 2911: 2909:Upper GI tract 2905: 2904: 2898: 2896: 2895: 2888: 2881: 2873: 2864: 2863: 2861: 2860: 2855: 2854: 2853: 2839: 2837: 2833: 2832: 2830: 2829: 2828: 2827: 2825:Inhalant abuse 2822: 2814: 2813: 2812: 2807: 2797: 2795: 2787: 2786: 2784: 2783: 2782: 2781: 2767: 2766: 2765: 2756: 2754: 2748: 2747: 2745: 2744: 2743: 2742: 2734: 2733: 2732: 2718: 2717: 2716: 2711: 2702: 2701: 2700: 2695: 2685:benzodiazepine 2681: 2680: 2679: 2670: 2668: 2657: 2656: 2654: 2653: 2652: 2651: 2642: 2641: 2640: 2634: 2628: 2622: 2617: 2608: 2606: 2600: 2599: 2597: 2596: 2595: 2594: 2586: 2585: 2584: 2579: 2574: 2564: 2562: 2556: 2555: 2553: 2552: 2551: 2550: 2544: 2535: 2533: 2527: 2526: 2524: 2523: 2522: 2521: 2513: 2512: 2511: 2505: 2496: 2494: 2488: 2487: 2485: 2484: 2483: 2482: 2477: 2471: 2463: 2462: 2461: 2456: 2450: 2441: 2439: 2433: 2432: 2430: 2429: 2428: 2427: 2419: 2418: 2417: 2412: 2407: 2402: 2393: 2391: 2385: 2384: 2381: 2380: 2378: 2377: 2375:Binge drinking 2372: 2365: 2363: 2359: 2358: 2355: 2354: 2352: 2351: 2346: 2340: 2338: 2332: 2331: 2329: 2328: 2322: 2316: 2310: 2305: 2299: 2298: 2297: 2291: 2280: 2275: 2270: 2264: 2262: 2254: 2253: 2251: 2250: 2245: 2240: 2233: 2231: 2223: 2222: 2220: 2219: 2212: 2210: 2204: 2203: 2201: 2200: 2194: 2193: 2192: 2187: 2175: 2173: 2167: 2166: 2164: 2163: 2157: 2151: 2149: 2140: 2133: 2127: 2126: 2124: 2123: 2122: 2121: 2112: 2111: 2110: 2101: 2099: 2093: 2092: 2090: 2089: 2088: 2087: 2074: 2060: 2059: 2058: 2057: 2056: 2050: 2039: 2034: 2019: 2017: 2013: 2012: 2004: 2002: 2001: 1994: 1987: 1979: 1970: 1969: 1966: 1965: 1953: 1952: 1950: 1946: 1945: 1942: 1941: 1930: 1915: 1899: 1894: 1893: 1891: 1890:Classification 1883: 1882:External links 1880: 1877: 1876: 1825: 1782: 1733: 1704:(5): 346–354. 1684: 1635: 1586: 1537: 1494: 1443: 1408: 1364: 1345:(1): 105–113. 1329: 1280: 1224: 1205:(1–2): 39–49. 1186: 1137: 1111: 1099: 1092: 1074: 1035: 1014:(10): 1021–9. 981: 928: 877: 846:(5): 108–113. 826: 801: 767: 688: 687: 685: 682: 659: 656: 654:less than 32. 646: 643: 632:pentoxifylline 602: 599: 594: 591: 578:Mallory bodies 570:leukocytopenia 525: 522: 512: 509: 469:blood pressure 439:deposition by 413:Main article: 410: 407: 386:Main article: 383: 380: 345: 342:carbon dioxide 298:Main article: 295: 292: 232: 229: 228: 227: 224:encephalopathy 216: 210: 202: 196: 193: 189: 186: 169:standard drink 160: 157: 109:, and chronic 70: 69: 64: 58: 57: 55:Mallory bodies 43: 42: 34: 33: 30: 26: 25: 17: 13: 10: 9: 6: 4: 3: 2: 4202: 4201: 4190: 4187: 4185: 4182: 4180: 4177: 4176: 4174: 4155: 4152: 4150: 4147: 4143: 4140: 4139: 4138: 4135: 4134: 4132: 4130: 4126: 4118: 4115: 4113: 4110: 4108: 4105: 4104: 4103: 4100: 4099: 4094: 4091: 4089: 4086: 4085: 4084: 4083: 4079: 4078: 4075: 4072: 4070: 4067: 4065: 4062: 4060: 4057: 4053: 4050: 4048: 4045: 4044: 4043: 4040: 4039: 4036: 4033: 4029: 4026: 4025: 4024: 4023:Diaphragmatic 4021: 4020: 4018: 4016: 4012: 4009: 4005: 3995: 3992: 3990: 3987: 3985: 3982: 3978: 3975: 3973: 3970: 3968: 3965: 3963: 3960: 3959: 3958: 3955: 3954: 3952: 3950: 3946: 3940: 3937: 3933: 3930: 3928: 3925: 3924: 3923: 3922: 3918: 3917: 3914: 3911: 3909: 3906: 3904: 3900: 3897: 3893: 3890: 3888: 3885: 3883: 3880: 3879: 3878: 3875: 3874: 3872: 3870: 3864: 3860: 3854: 3851: 3849: 3846: 3844: 3841: 3839: 3836: 3834: 3831: 3829: 3828:Cholecystitis 3826: 3825: 3823: 3821: 3817: 3809: 3806: 3804: 3801: 3800: 3799: 3796: 3794: 3791: 3789: 3786: 3782: 3779: 3777: 3774: 3773: 3772: 3771:Liver abscess 3769: 3765: 3762: 3760: 3757: 3756: 3755: 3754:Liver failure 3752: 3750: 3747: 3743: 3740: 3738: 3735: 3733: 3730: 3728: 3725: 3724: 3723: 3722: 3718: 3714: 3711: 3710: 3709: 3706: 3702: 3699: 3698: 3697: 3694: 3690: 3687: 3685: 3682: 3680: 3677: 3676: 3675: 3672: 3671: 3669: 3667: 3663: 3660: 3658: 3654: 3646: 3643: 3642: 3641: 3638: 3634: 3631: 3629: 3626: 3625: 3624: 3621: 3619: 3616: 3615: 3613: 3611: 3607: 3597: 3594: 3592: 3589: 3587: 3584: 3582: 3579: 3577: 3573: 3570: 3569: 3567: 3565: 3561: 3555: 3552: 3550: 3547: 3545: 3542: 3540: 3537: 3533: 3530: 3529: 3528: 3525: 3524: 3522: 3520: 3516: 3510: 3507: 3503: 3500: 3499: 3498: 3495: 3491: 3488: 3487: 3486: 3483: 3481: 3478: 3476: 3473: 3471: 3468: 3466: 3462: 3459: 3457: 3454: 3452: 3449: 3447: 3443: 3442: 3438: 3434: 3431: 3430: 3429: 3426: 3424: 3421: 3417: 3414: 3413: 3412: 3411:Enterocolitis 3409: 3408: 3406: 3402: 3396: 3392: 3388: 3385: 3383: 3379: 3376: 3372: 3368: 3365: 3363: 3360: 3359: 3358: 3355: 3353: 3350: 3346: 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3326: 3323: 3321: 3318: 3317: 3316: 3313: 3311: 3308: 3307: 3305: 3302: 3298: 3293: 3289: 3283: 3280: 3278: 3275: 3273: 3270: 3268: 3265: 3263: 3260: 3258: 3255: 3253: 3250: 3248: 3245: 3243: 3239: 3238:Malabsorption 3236: 3232: 3229: 3228: 3227: 3224: 3220: 3217: 3215: 3212: 3210: 3207: 3206: 3205: 3202: 3201: 3199: 3196: 3192: 3188: 3183: 3179: 3176: 3174: 3170: 3166: 3154: 3151: 3150: 3149: 3146: 3144: 3141: 3139: 3136: 3134: 3131: 3129: 3126: 3124: 3121: 3119: 3116: 3114: 3113:Gastroparesis 3111: 3109: 3106: 3104: 3101: 3097: 3094: 3093: 3092: 3089: 3085: 3082: 3080: 3079:Cushing ulcer 3077: 3076: 3075: 3072: 3068: 3065: 3063: 3060: 3058: 3055: 3054: 3053: 3050: 3049: 3047: 3045: 3041: 3035: 3032: 3030: 3027: 3025: 3024:Megaesophagus 3022: 3020: 3017: 3015: 3012: 3009: 3006: 3001: 2998: 2996: 2993: 2991: 2988: 2986: 2983: 2981: 2978: 2977: 2976: 2973: 2971: 2968: 2966: 2963: 2959: 2956: 2954: 2951: 2950: 2949: 2946: 2942: 2939: 2937: 2934: 2932: 2929: 2928: 2927: 2924: 2923: 2921: 2919: 2915: 2912: 2910: 2906: 2902: 2894: 2889: 2887: 2882: 2880: 2875: 2874: 2871: 2859: 2856: 2852: 2849: 2848: 2846: 2845: 2841: 2840: 2838: 2834: 2826: 2823: 2821: 2818: 2817: 2815: 2811: 2808: 2805: 2802: 2801: 2799: 2798: 2796: 2794: 2788: 2780: 2777: 2776: 2774: 2772: 2768: 2764: 2761: 2760: 2758: 2757: 2755: 2753: 2749: 2741: 2738: 2737: 2735: 2731: 2728: 2727: 2725: 2723: 2719: 2715: 2712: 2709: 2706: 2705: 2703: 2699: 2696: 2694: 2691: 2690: 2688: 2686: 2682: 2678: 2675: 2674: 2672: 2671: 2669: 2667: 2662: 2658: 2649: 2646: 2645: 2643: 2638: 2635: 2632: 2629: 2626: 2623: 2621: 2618: 2616: 2613: 2612: 2610: 2609: 2607: 2605: 2601: 2593: 2590: 2589: 2587: 2583: 2580: 2578: 2575: 2572: 2569: 2568: 2566: 2565: 2563: 2561: 2557: 2548: 2545: 2543: 2540: 2539: 2537: 2536: 2534: 2532: 2528: 2520: 2517: 2516: 2514: 2509: 2506: 2504: 2501: 2500: 2498: 2497: 2495: 2493: 2489: 2481: 2478: 2475: 2472: 2470: 2467: 2466: 2464: 2460: 2457: 2454: 2451: 2449: 2446: 2445: 2443: 2442: 2440: 2438: 2434: 2426: 2423: 2422: 2420: 2416: 2413: 2411: 2408: 2406: 2403: 2401: 2398: 2397: 2395: 2394: 2392: 2390: 2386: 2376: 2373: 2370: 2367: 2366: 2364: 2360: 2350: 2347: 2345: 2342: 2341: 2339: 2337: 2333: 2326: 2323: 2320: 2317: 2314: 2311: 2309: 2306: 2303: 2300: 2295: 2292: 2290: 2287: 2286: 2284: 2281: 2279: 2276: 2274: 2271: 2269: 2266: 2265: 2263: 2261: 2255: 2249: 2246: 2244: 2241: 2238: 2235: 2234: 2232: 2230: 2224: 2217: 2214: 2213: 2211: 2209: 2205: 2198: 2195: 2191: 2188: 2186: 2183: 2182: 2180: 2177: 2176: 2174: 2172: 2168: 2161: 2158: 2156: 2153: 2152: 2150: 2148: 2144: 2141: 2137: 2134: 2132: 2128: 2119: 2116: 2115: 2113: 2109: 2106: 2105: 2103: 2102: 2100: 2098:substance use 2094: 2086: 2082: 2078: 2075: 2073: 2069: 2066: 2065: 2064: 2061: 2054: 2051: 2049: 2046: 2045: 2043: 2040: 2038: 2035: 2033: 2032:Drug overdose 2029: 2026: 2025: 2024: 2021: 2020: 2018: 2014: 2010: 2007: 2000: 1995: 1993: 1988: 1986: 1981: 1980: 1977: 1964: 1960: 1959: 1955: 1954: 1951: 1947: 1940: 1936: 1935: 1931: 1929: 1925: 1924: 1920: 1916: 1914: 1910: 1909: 1905: 1901: 1900: 1897: 1892: 1888: 1881: 1872: 1868: 1863: 1858: 1853: 1848: 1844: 1840: 1836: 1829: 1826: 1821: 1817: 1813: 1809: 1805: 1801: 1797: 1793: 1786: 1783: 1778: 1774: 1769: 1764: 1760: 1756: 1752: 1748: 1744: 1737: 1734: 1729: 1725: 1720: 1715: 1711: 1707: 1703: 1699: 1695: 1688: 1685: 1680: 1676: 1671: 1666: 1662: 1658: 1654: 1650: 1646: 1639: 1636: 1631: 1627: 1622: 1617: 1613: 1609: 1605: 1601: 1597: 1590: 1587: 1582: 1578: 1573: 1568: 1564: 1560: 1556: 1552: 1548: 1541: 1538: 1533: 1529: 1525: 1521: 1517: 1513: 1509: 1505: 1498: 1495: 1490: 1486: 1481: 1476: 1471: 1466: 1462: 1458: 1454: 1447: 1444: 1439: 1435: 1431: 1427: 1423: 1419: 1412: 1409: 1404: 1400: 1396: 1392: 1388: 1384: 1380: 1376: 1368: 1365: 1360: 1356: 1352: 1348: 1344: 1340: 1333: 1330: 1325: 1321: 1316: 1311: 1307: 1303: 1299: 1295: 1291: 1284: 1281: 1276: 1272: 1267: 1262: 1257: 1252: 1248: 1244: 1240: 1233: 1231: 1229: 1225: 1220: 1216: 1212: 1208: 1204: 1200: 1193: 1191: 1187: 1182: 1178: 1174: 1170: 1165: 1160: 1156: 1152: 1148: 1141: 1138: 1126: 1122: 1115: 1112: 1109:, p. 185 1108: 1103: 1100: 1095: 1089: 1085: 1078: 1075: 1062: 1058: 1054: 1050: 1046: 1039: 1036: 1031: 1027: 1022: 1017: 1013: 1009: 1005: 998: 996: 994: 992: 990: 988: 986: 982: 977: 973: 969: 965: 961: 957: 952: 947: 944:(3): 217–32. 943: 939: 932: 929: 924: 920: 915: 910: 905: 900: 896: 892: 888: 881: 878: 873: 869: 864: 859: 854: 849: 845: 841: 837: 830: 827: 815: 811: 805: 802: 790: 786: 782: 778: 771: 768: 752: 748: 744: 740: 736: 732: 728: 725:(1): 307–28. 724: 720: 713: 706: 704: 702: 700: 698: 696: 694: 690: 683: 681: 678: 673: 669: 665: 657: 655: 653: 644: 642: 639: 637: 633: 629: 625: 620: 618: 614: 610: 608: 600: 598: 592: 590: 587: 583: 579: 575: 571: 567: 563: 559: 555: 551: 547: 543: 539: 535: 531: 523: 521: 519: 510: 508: 506: 502: 498: 494: 490: 486: 482: 478: 474: 470: 466: 462: 461:liver failure 458: 454: 450: 449:cell membrane 446: 442: 438: 434: 430: 426: 422: 416: 408: 406: 404: 400: 396: 389: 381: 379: 377: 376:triglycerides 373: 369: 365: 361: 356: 348:) and water ( 343: 339: 335: 331: 327: 323: 319: 315: 311: 307: 301: 293: 291: 289: 285: 281: 277: 273: 270: 266: 262: 258: 257:interleukin 8 254: 253:interleukin 6 250: 246: 237: 230: 225: 221: 217: 214: 213:Iron overload 211: 208: 203: 200: 197: 194: 190: 187: 170: 166: 165: 164: 158: 156: 154: 149: 147: 143: 139: 135: 131: 127: 126:liver disease 122: 120: 116: 112: 108: 104: 100: 96: 92: 88: 84: 80: 76: 68: 65: 63: 59: 56: 52: 48: 44: 40: 35: 31: 27: 22: 16: 4101: 4080: 3957:Pancreatitis 3919: 3869:biliary tree 3748: 3742:Nutmeg liver 3719: 3645:Hematochezia 3596:Pruritus ani 3581:Anal abscess 3576:Anal fistula 3572:Anal fissure 3485:Constipation 3439: 3310:Appendicitis 3118:Gastroptosis 3108:Achlorhydria 2947: 2936:Eosinophilic 2842: 2769: 2720: 2683: 2531:Hallucinogen 2258:Neurological 2178: 2006:Psychoactive 1956: 1932: 1917: 1902: 1842: 1838: 1828: 1798:(2): 353–8. 1795: 1791: 1785: 1753:(1): 130–7. 1750: 1746: 1736: 1701: 1697: 1687: 1652: 1648: 1638: 1603: 1599: 1589: 1554: 1550: 1540: 1510:(1): 24–34. 1507: 1503: 1497: 1460: 1456: 1446: 1421: 1411: 1378: 1374: 1367: 1342: 1338: 1332: 1297: 1293: 1283: 1246: 1242: 1202: 1198: 1154: 1150: 1140: 1128:. Retrieved 1124: 1114: 1102: 1083: 1077: 1065:. Retrieved 1048: 1038: 1011: 1007: 941: 937: 931: 894: 890: 880: 843: 839: 829: 817:. Retrieved 814:nccd.cdc.gov 813: 804: 792:. Retrieved 780: 770: 758:. Retrieved 751:the original 722: 718: 661: 648: 640: 621: 611: 604: 596: 546:macrocytosis 542:mitochondria 527: 518:hepatomegaly 514: 433:Acetaldehyde 423:(swelling), 421:inflammation 418: 391: 336:(ALDH) into 330:acetaldehyde 303: 294:Fatty change 276:inflammation 269:acetaldehyde 242: 162: 159:Risk factors 150: 123: 90: 86: 85:also called 82: 78: 74: 73: 15: 4137:Peritonitis 3899:Cholestasis 3877:Cholangitis 3820:Gallbladder 3708:Fatty liver 3628:Hematemesis 3610:GI bleeding 3416:Necrotizing 3345:Lymphocytic 3340:Collagenous 3335:Microscopic 3272:Steatorrhea 3173:Enteropathy 3019:Inlet patch 2941:Herpetiform 2926:Esophagitis 2771:amphetamine 2722:barbiturate 1958:MedlinePlus 601:Medications 499:other than 473:portal vein 338:acetic acid 310:liver cells 288:hepatocytes 220:hepatocytes 153:hepatitis B 138:fatty liver 113:with liver 103:fatty liver 29:Other names 4173:Categories 4129:Peritoneal 4107:Incisional 4028:Congenital 3972:Hereditary 3949:Pancreatic 3913:Haemobilia 3586:Hemorrhoid 3564:Anal canal 3502:Infectious 3490:Functional 3325:Ulcerative 3209:Duodenitis 3148:Gastrinoma 2752:Stimulants 2415:Caffeinism 2369:Alcoholism 2042:Withdrawal 1792:Hepatology 1067:27 January 760:18 October 719:Hepatology 684:References 628:etanercept 624:infliximab 586:neutrophil 505:abstinence 445:cytochrome 144:, and 15% 47:Microscopy 4117:Richter's 4074:Spigelian 4069:Obturator 4059:Umbilical 3892:Ascending 3863:Bile duct 3696:Cirrhosis 3674:Hepatitis 3657:Accessory 3527:Proctitis 3378:Megacolon 3352:Dysentery 3262:Whipple's 3214:Jejunitis 3204:Enteritis 3091:Dyspepsia 3052:Gastritis 2985:Achalasia 2918:Esophagus 2858:Chocolate 2260:disorders 1710:1554-7914 1339:J Hepatol 946:CiteSeerX 789:0362-4331 664:histology 658:Prognosis 613:Silymarin 593:Treatment 562:bilirubin 532:(AST) to 511:Diagnosis 415:Cirrhosis 409:Cirrhosis 318:vesicular 306:steatosis 280:apoptosis 249:TNF-alpha 245:cytokines 130:steatosis 119:cirrhosis 111:hepatitis 62:Specialty 4047:Indirect 4042:Inguinal 3776:Pyogenic 3721:Vascular 3497:Diarrhea 3475:Volvulus 3441:Vascular 3380: / 3369: / 3330:Ischemic 3297:Appendix 3187:Duodenum 3057:Atrophic 2931:Candidal 2791:Volatile 2666:hypnotic 2661:Sedative 2560:Nicotine 2437:Cannabis 2389:Caffeine 2248:Hangover 2096:Combined 1871:11835693 1845:(1): 2. 1820:27208162 1812:15660383 1777:11804676 1728:28289338 1679:22592729 1630:21678335 1581:19821406 1532:22443776 1524:17203086 1489:20238404 1438:21412909 1403:11757767 1395:16279916 1324:17054157 1275:25278689 1219:17045579 1061:Archived 1030:11605686 976:46350552 968:15349801 923:28487602 872:21731902 747:41729364 739:20034030 582:necrosis 564:levels. 487:and the 457:jaundice 455:include 453:Symptoms 437:collagen 429:necrosis 425:fibrosis 403:fibrosis 399:necrosis 374:to form 372:glycerol 284:fibrosis 272:toxicity 115:fibrosis 4088:Petit's 4064:Femoral 3967:Chronic 3781:Amoebic 3549:Anismus 3315:Colitis 3242:Coeliac 3219:Ileitis 3191:Jejunum 3044:Stomach 2948:Rupture 2836:Related 2793:solvent 2604:Opioids 2492:Cocaine 2285:(AWS): 2227:Nervous 2181:(ALD): 2131:Alcohol 2016:General 1939:D008108 1768:1837536 1719:5338188 1670:6823271 1621:7098215 1572:6769169 1480:2842529 1359:2671116 1315:8690167 1266:4177474 1181:1439776 1173:9820369 1130:11 June 914:5403744 863:3124876 819:6 March 794:6 March 556:(GGT), 501:alcohol 481:ascites 471:in the 328:) into 180:⁄ 99:alcohol 4082:Lumbar 4052:Direct 4035:Hiatus 4015:Hernia 3867:Other 3633:Melena 3519:Rectum 3002:(GERD) 2847:: SUD 2806:(SSDS) 2549:(HPPD) 2304:(FASD) 2055:(PAWS) 1963:000281 1869:  1859:  1818:  1810:  1775:  1765:  1726:  1716:  1708:  1677:  1667:  1628:  1618:  1579:  1569:  1530:  1522:  1487:  1477:  1436:  1401:  1393:  1357:  1322:  1312:  1273:  1263:  1217:  1179:  1171:  1090:  1055:& 1028:  974:  966:  948:  921:  911:  870:  860:  787:  745:  737:  584:, and 566:Folate 560:, and 497:toxins 467:(high 395:steato 267:, and 4007:Other 3962:Acute 3713:MASLD 3666:Liver 3640:Lower 3623:Upper 3465:Ileus 3301:Colon 3195:Ileum 3010:(LPR) 2710:(BUD) 2650:(OUD) 2639:(OIC) 2633:(OIE) 2627:(OIH) 2573:(GTS) 2510:(PCE) 2476:(CUD) 2455:(CHS) 2315:(PAN) 2296:(DTs) 2239:(ARD) 2218:(AKA) 2199:(ABS) 2162:(AFR) 2120:(CDI) 1928:571.1 1862:65516 1816:S2CID 1528:S2CID 1399:S2CID 1177:S2CID 972:S2CID 754:(PDF) 743:S2CID 715:(PDF) 314:macro 95:liver 51:liver 3395:SCAD 2816:SUD 2800:SID 2775:SUD 2759:SID 2736:SUD 2726:SID 2704:SUD 2689:SID 2673:SID 2644:SUD 2611:SID 2588:SUD 2567:SID 2538:SID 2515:SUD 2499:SID 2465:SUD 2444:SID 2421:SUD 2396:SID 2327:(WE) 2114:SID 2104:SUD 1934:MeSH 1923:9-CM 1867:PMID 1808:PMID 1773:PMID 1724:PMID 1706:ISSN 1675:PMID 1626:PMID 1604:2011 1577:PMID 1555:2009 1520:PMID 1485:PMID 1434:PMID 1391:PMID 1355:PMID 1320:PMID 1298:2009 1271:PMID 1215:PMID 1169:PMID 1132:2020 1088:ISBN 1069:2010 1026:PMID 964:PMID 919:PMID 868:PMID 821:2024 796:2024 785:ISSN 762:2011 735:PMID 626:and 364:NAD+ 360:NADH 255:and 207:ALDH 91:ARLD 3701:PBC 3428:IBD 3362:IBS 2362:SUD 2139:SID 2063:SUD 2023:SID 1919:ICD 1913:K70 1904:ICD 1857:PMC 1847:doi 1800:doi 1763:PMC 1755:doi 1714:PMC 1665:PMC 1657:doi 1616:PMC 1608:doi 1567:PMC 1559:doi 1512:doi 1475:PMC 1465:doi 1426:doi 1383:doi 1379:100 1347:doi 1310:PMC 1302:doi 1261:PMC 1251:doi 1207:doi 1203:377 1159:doi 1016:doi 956:doi 909:PMC 899:doi 858:PMC 848:doi 727:doi 677:MDF 652:MDF 344:(CO 326:ADH 259:), 117:or 79:ALD 49:of 4175:: 3865:/ 3463:: 3444:: 3240:: 2083:/ 2079:/ 2070:/ 2044:: 2030:/ 1961:: 1937:: 1926:: 1911:: 1908:10 1865:. 1855:. 1841:. 1837:. 1814:. 1806:. 1796:41 1794:. 1771:. 1761:. 1751:36 1749:. 1745:. 1722:. 1712:. 1700:. 1696:. 1673:. 1663:. 1651:. 1647:. 1624:. 1614:. 1602:. 1598:. 1575:. 1565:. 1553:. 1549:. 1526:. 1518:. 1506:. 1483:. 1473:. 1461:16 1459:. 1455:. 1432:. 1420:. 1397:. 1389:. 1377:. 1353:. 1341:. 1318:. 1308:. 1296:. 1292:. 1269:. 1259:. 1247:20 1245:. 1241:. 1227:^ 1213:. 1201:. 1189:^ 1175:. 1167:. 1155:93 1153:. 1149:. 1123:. 1059:. 1047:. 1024:. 1012:76 1010:. 1006:. 984:^ 970:. 962:. 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Index


Microscopy
liver
Mallory bodies
Specialty
Gastroenterology
liver
alcohol
fatty liver
alcoholic hepatitis
hepatitis
fibrosis
cirrhosis
liver disease
steatosis
fatty liver disease
fatty liver
alcoholic hepatitis
liver cirrhosis
hepatitis B
standard drink
Hepatitis C infection
ALDH
Iron overload
hepatocytes
encephalopathy

cytokines
TNF-alpha
interleukin 6

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