Alcoholic Liver Disease (beta)
Official guideline from the American College of Gastroenterology.
Strength
Strong recommendation
Conditional recommendation
Evidence
Moderate quality evidence
Low quality evidence
Very low quality evidence
Disease
Select...
Specialty
Select...
Chief Complaint
Select...
Organ System
Select...
Patent Pending
Log In
Forgot Password?
Enter your email address and we'll send you a link to reset your password.
Get New PasswordSign In Required
To save favorites, you must log in.
Creating an account is free, easy, and takes about 60 seconds.
Already have an MDCalc account?
Attention COACH STUDY participants:
The principal investigators of the study request that you use the official version of the modified score here.
Environmental and Genetic Determinants
- Patients with obesity or chronic HCV should avoid consumption of alcohol.
- Patients with ALD should be advised to abstain from cigarettes.
Diagnosis of Alcoholic Use Disorder
- Patients who have heavy alcohol use (>3 drinks per day in men and >2 drinks in women) for >5 years) should be counseled that they are at increased risk for alcoholic liver disease.
Management of Alcoholic Liver Disease
- In patients with ALD, baclofen is effective in preventing alcohol relapse.
- In patients with ALD, brief motivational interventions are effective in reducing alcohol relapse compared with no intervention.
Alcoholic Hepatitis
- Patients with AH should be considered for nutritional supplementation to ensure adequate caloric intake and to correct specific deficits, yet its effects on patient survival has not been proven.
- Patients with severe AH should be treated with corticosteroids if there are no contraindications for their use.
- The existing evidence does not support the use of pentoxifylline for patients with severe AH.
Liver Transplantation in Alcoholic Liver Disease
- Liver transplantation may be considered for highly selected patients with severe AH.
What do the icons mean?
