Chronic liver disease

Superimposed acute hepatic failure also occurs in patients with chronic liver disease. Often times an event such as a new infection (spontaneous bacterial peritonitis) or GI bleed will tip a previously stable cirrhotic into fulminant liver failure. Treatment is supportive as described above. Generally such patients may have already been candidates for liver transplant, and this acute event may increase their priority on the organ recipient waiting list. Each health care system must prioritize organ allocation to those individuals who most urgently need it.

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