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Alcoholic hepatitis

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570:: Systematic reviews comparing the treatment of pentoxifylline with corticosteroids show there is no benefit to treatment with pentoxifylline Potential for combined therapy: A large prospective study of over 1000 patients investigated whether prednisolone and pentoxifylline produced benefits when used alone or in combination. Pentoxifylline did not improve survival alone or in combination. Prednisolone gave a small reduction in mortality at 28 days but this did not reach significance, and there were no improvements in outcomes at 90 days or 1 year. 222: 443: 29: 4284: 451: 454: 453: 458: 457: 452: 459: 461: 460: 545:
Nutrition Supplementation: Protein and calorie deficiencies are seen frequently in patients with alcoholic hepatitis, and it negatively affects their outcomes. Improved nutrition has been shown to improve liver function and reduce incidences encephalopathy and
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Thursz MR, Richardson P, Allison M, Austin A, Bowers M, Day CP, Downs N, Gleeson D, MacGilchrist A, Grant A, Hood S, Masson S, McCune A, Mellor J, O'Grady J, Patch D, Ratcliffe I, Roderick P, Stanton L, Vergis N, Wright M, Ryder S, Forrest EH (2015).
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Louvet, Alexandre; Labreuche, Julien; Artru, Florent; Bouthors, Alexis; Rolland, Benjamin; Saffers, Pierre; Lollivier, Julien; Lemaître, Elise; Dharancy, Sébastien; Lassailly, Guillaume; Canva-Delcambre, Valérie (26 September 2017).
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is usually 2 or more. In most cases, the liver enzymes do not exceed 500. A liver biopsy is not required for the diagnosis, however it can help confirm alcoholic hepatitis as the cause of the hepatitis if the diagnosis is unclear.
202:. Alcoholic hepatitis by itself does not lead to cirrhosis, but cirrhosis is more common in patients with long term alcohol consumption. Some alcoholics develop acute hepatitis as an inflammatory reaction to the cells affected by 1532: 1517: 263:
which is directly damaging to liver cells. Chronic alcohol consumption may alter the gut microbiome and promote the production of these pathogenic bacteria. Many of these pathogenic bacteria also contain
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Sorbi D, Boynton J, Lindor KD (1999). "The ratio of aspartate aminotransferase to alanine aminotransferase: potential value in differentiating nonalcoholic steatohepatitis from alcoholic liver disease".
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Barrio, E.; Tomé, S.; Rodríguez, I.; Gude, F.; Sánchez-Leira, J.; Pérez-Becerra, E.; González-Quintela, A. (January 2004). "Liver Disease in Heavy Drinkers With and Without Alcohol Withdrawal Syndrome".
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damage by alcohol and its metabolites in addition to increased intestinal permeability are thought to play a role. Heavy alcohol consumption increases intestinal permeability by causing direct damage to
268:(PAMPs), extracellular motifs that are recognized by the immune system as foreign material, which may lead to an exaggerated inflammatory response in the liver which further leads to hepatocyte damage. 175:
Alcoholic hepatitis is characterized by a number of symptoms, which may include feeling unwell, enlargement of the liver, development of fluid in the abdomen (ascites), and modest elevation of liver
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Tornai, David; Mitchell, Mack; McClain, Craig J.; Dasarathy, Srinivasan; McCullough, Arthur; Radaeva, Svetlana; Kroll-Desrosiers, Aimee; Lee, JungAe; Barton, Bruce; Szabo, Gyongyi (December 2023).
455: 396:; normally these proteins are exported into the bloodstream. Accompanied with ballooning, there is necrotic damage. The swelling is capable of blocking nearby biliary ducts, leading to diffuse 349:
synthesis, glucose metabolism and immune dysfunction. This impaired compensatory liver regenerative response further leads to a ductular reaction; a type of abnormal liver cell architecture.
4803: 120:. Symptoms may present acutely after a large amount of alcoholic intake in a short time period, or after years of excess alcohol intake. Signs and symptoms of alcoholic hepatitis include 341:
The chronic inflammation seen in alcoholic hepatitis also leads to impaired hepatocyte differentiation, impairments in hepatocyte regeneration and hepatocyte de-differentiation into
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Alcoholic hepatitis is distinct from cirrhosis caused by long-term alcohol consumption. Alcoholic hepatitis can occur in patients with chronic alcoholic liver disease and alcoholic
206:. This is not directly related to the dose of alcohol. Some people seem more prone to this reaction than others. This inflammatory reaction to the fatty change is called alcoholic 487:
Infection risk is elevated in patients with alcoholic hepatitis (12–26%). It increases even higher with use of corticosteroids (50%) when compared with the general population.
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Louvet, Alexandre; Wartel, Faustine; Castel, Hélène; Dharancy, Sébastien; Hollebecque, Antoine; Canva–Delcambre, Valérie; Deltenre, Pierre; Mathurin, Philippe (August 2009).
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Females are more susceptible to alcohol-associated liver injury and are therefore at higher risk of alcohol-associated hepatitis. Certain genetic variations in the
3695: 360:, an acute systemic inflammatory state can develop after extensive alcohol intake that dominates the clinical landscape of acute severe alcoholic hepatitis. 191:, (a characteristic flapping movement when the wrist is extended indicative of hepatic encephalopathy). Severe cases are characterized by profound jaundice, 4771: 4320: 2948: 3619: 1610: 108:. Patients typically have a history of at least 10 years of heavy alcohol intake, typically 8–10 drinks per day. It is usually found in association with 538:. These scores are used to evaluate the severity of the liver disease based on several lab values. The greater the score, the more severe the disease. 1076: 3624: 3029: 195:(ranging from drowsiness to unconsciousness), and progressive critical illness; the mortality rate is 50% within 30 days of onset despite best care. 1307:"Diagnosis and Treatment of Alcohol-Associated Liver Diseases: 2019 Practice Guidance From the American Association for the Study of Liver Diseases" 2114: 247:
that form a barrier between the enterocytes. This leads to increased intestinal permeability which then leads to pathogenic gut bacteria (such as
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require a period of alcohol abstinence (typically six months) prior to transplant, but the ethics and science behind this are controversial.
2910: 1709: 981:"A novel score of IL-13 and age predicts 90-day mortality in severe alcohol-associated hepatitis: A multicenter plasma biomarker analysis" 5000: 4870: 1306: 1077:"All-cause mortality in people with cirrhosis compared with the general population: a population-based cohort study: Cirrhosis mortality" 553: 153: 580:: When used in conjunction with corticosteroids, improves survival at 28 days by decreasing rates of infection and hepatorenal syndrome. 307:(DAMPs) which are molecules that lead to further activation of the immune system's inflammatory response and further hepatocyte damage. 4209: 3779: 1748: 3761: 3111: 611:
are thought to influence disease severity. Other factors in alcoholic hepatitis associated with a poor prognosis include concomitant
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has been shown to have the most robust increase among pro-inflammatory mediators in these patients. Furthermore, decreased levels of
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Cirrhosis, Kidney failure, Confusion, drowsiness and slurred speech (hepatic encephalopathy), Ascites, Enlarged veins (varices).
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Abstinence: Stopping further alcohol consumption is the number one factor for recovery in patients with alcoholic hepatitis.
314:, with fibrogenic cell type activation. This occurs via an increased extracellular matrix deposition around hepatocytes and 3245: 1184:"Infection in Patients With Severe Alcoholic Hepatitis Treated With Steroids: Early Response to Therapy Is the Key Factor" 4306: 3966: 3891: 353: 304: 318:
which causes a peri-cellular fibrosis known as "chickenwire fibrosis". This peri-cellular chickenwire fibrosis leads to
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that drain blood from the intestines to the liver. This causes many of the sequelae of chronic liver disease including
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Schwartz, Jonathan M.; Reinus, John F. (November 2012). "Prevalence and Natural History of Alcoholic Liver Disease".
885: 531: 157: 1359:"Main drivers of outcome differ between short term and long term in severe alcoholic hepatitis: A prospective study" 167:
with a response rate of about 60%. The condition often comes on suddenly and may progress in severity very rapidly.
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Keating, Michelle; Lardo, Olivia; Hansell, Maggie (1 April 2022). "Alcoholic Hepatitis: Diagnosis and Management".
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In total, 70% of those with alcoholic hepatitis will go on to develop alcoholic liver cirrhosis in their lifetimes.
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was found to be closely associated with short-term (90-day) mortality in severe alcoholic hepatitis patients.
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type cells. This leads to defects in the liver's many functions including impairments in bilirubin transport,
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Singal, Ashwani K.; Kodali, Sudha; Vucovich, Lee A.; Darley-Usmar, Victor; Schiano, Thomas D. (July 2016).
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The pathological mechanisms in alcoholic hepatitis are incompletely understood but a combination of direct
586:: Early liver transplantation is ideal and helps to save lives. However, most transplant providers in the 5167: 5031: 4960: 4948: 4606: 4360: 4287: 3639: 2953: 2896: 1781: 4728: 4441: 4395: 4332: 4155: 4118: 3896: 3147: 3039: 2147: 2076: 1677: 508: 936:
Bataller, Ramon; Arab, Juan Pablo; Shah, Vijay H. (29 December 2022). "Alcohol-Associated Hepatitis".
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The diagnosis is made in a patient with history of significant alcohol intake who develops worsening
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Untreated alcoholic hepatitis mortality in one month of presentation may be as high as 40-50%.
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10-20% of patients with alcoholic hepatitis progress to alcoholic liver cirrhosis every year.
248: 215: 5053: 4826: 4566: 4408: 4298: 4160: 4147: 4091: 3906: 3524: 3317: 3236: 3169: 3066: 2742: 2686: 2507: 2403: 1986: 1981: 1815: 1733: 1699: 500: 392:– hepatocytes in the setting of alcoholic change often swell up with excess fat, water and 180: 3869: 8: 5086: 4971: 4915: 4905: 4748: 4659: 4513: 4400: 4371: 4239: 4113: 3854: 3839: 3789: 3494: 3484: 3263: 3193: 2981: 2836: 2646: 2539: 2522: 2483: 2456: 2251: 2228: 2221: 2170: 2142: 2064: 2059: 2054: 1971: 1588: 1536: 616: 410:
invasion is triggered by the necrotic changes and presence of cellular debris within the
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Fleming, Kate M.; Aithal, Guruprasad P.; Card, Tim R.; West, Joe (January 2012).
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score > 32 or hepatic encephalopathy should be considered for treatment with
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Patients with liver cirrhosis develop liver cancer at a rate of 1.5% per year.
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can be used to monitor for improvement or to consider alternative treatment.
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Alcoholic hepatitis occurs in approximately 1/3 of chronic alcohol drinkers.
438:– a progressive and permanent type of fibrotic degeneration of liver tissue. 422:. These cells are particularly attracted to hepatocytes with Mallory bodies. 310:
The chronic inflammation seen in alcoholic hepatitis leads to a distinctive
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Alcohol is also directly damaging to liver cells. Alcohol is metabolized to
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damage. In the case of enterococcus faecalis, the bacterium can release an
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40 mg daily for four weeks followed by a taper. Models such as the
397: 383: 323: 300: 192: 141: 101: 78: 1509: 291:(binding to DNA) leading to direct hepatocyte damage. This manifests as 5181: 4738: 4692: 4264: 4096: 4044: 3844: 3817: 3727: 3509: 3489: 3418: 3001: 2991: 2632: 2305: 2283: 1928: 1867: 792: 419: 407: 288: 256: 240: 235: 36: 1375: 1358: 1323: 842: 825: 148:). Mild cases are self-limiting, but severe cases have a high risk of 5075: 4199: 4106: 3940: 3739: 3705: 3558: 3529: 3499: 3431: 3386: 3359: 3207: 3142: 2976: 2971: 2888: 2582: 2552: 2415: 2393: 2246: 2097: 2071: 1933: 1923: 1810: 1771: 1704: 777:"Diagnosis and Treatment of Alcoholic Hepatitis: A Systematic Review" 504: 435: 203: 199: 188: 117: 93: 5148: 4989: 4984: 4883: 4865: 4712: 4571: 3799: 3463: 2216: 2194: 1906: 430: 393: 311: 303:(an endogenous antioxidant) depletion. Damaged hepatocytes release 260: 211: 121: 83:
Sex, Obesity, Genetic factors, Race and ethnicity, Binge drinking.
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Some signs and pathological changes in liver histology include:
116:, and may contribute to the progression of fibrosis, leading to 4927: 2734: 2352: 2238: 1521: 600: 276: 176: 978: 4259: 4167: 3332: 2184: 1914: 1405: 265: 149: 4328: 1355: 688:"Alcoholic liver disease: MedlinePlus Medical Encyclopedia" 1618: 1181: 721:
Im, Gene Y. (February 2019). "Acute Alcoholic Hepatitis".
243:(intestinal absorptive cells) and causing disruptions of 3696:
Ban on caffeinated alcoholic drinks in the United States
1409:"Prednisolone or pentoxifylline for alcoholic hepatitis" 382:– a condition where pre-keratin filaments accumulate in 1027: 603:-encoding gene, which codes for an enzyme involved in 1074: 2949:
Alcohol-related traffic crashes in the United States
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List of countries by alcohol consumption per capita
1274: 210:and the inflammation probably predisposes to liver 1230: 826:"Hepatic encephalopathy: Diagnosis and management" 3625:Alcohol consumption by youth in the United States 3030:Collaborative Study on the Genetics of Alcoholism 5194: 4866:Acute intoxication from hallucinogens (bad trip) 1031:Alcoholism: Clinical & Experimental Research 935: 931: 929: 927: 925: 923: 921: 919: 917: 552:: These guidelines suggest that patients with a 414:. Ordinarily the amount of debris is removed by 4007:Foundation for Advancing Alcohol Responsibility 1461:"Liver transplantation for alcoholic hepatitis" 915: 913: 911: 909: 907: 905: 903: 901: 899: 897: 255:, and travelling to the liver where they cause 1300: 1298: 1138: 781:Alcoholism: Clinical and Experimental Research 4314: 2904: 1604: 656: 654: 47:finding associated with alcoholic hepatitis. 3569:International Women's Collaboration Brew Day 1710:Esophagogastric junction outflow obstruction 1399: 1268: 1224: 894: 4871:Hallucinogen persisting perception disorder 1295: 4321: 4307: 4210:Medicinal Liquor Prescriptions Act of 1933 3780:List of countries with alcohol prohibition 2911: 2897: 1749:Esophageal intramural pseudodiverticulosis 1611: 1597: 871: 869: 867: 865: 863: 861: 651: 426:If chronic liver disease is also present: 27: 3112:Short-term effects of alcohol consumption 1458: 1424: 1374: 1332: 1322: 1199: 1004: 841: 800: 530:People should be risk stratified using a 1305:Crabb, DW; Im, Gene Young (2020-01-01). 554:modified Maddrey's discriminant function 449: 441: 220: 5001:Kindling (sedative–hypnotic withdrawal) 3750:Legal drinking age in the United States 1304: 858: 5195: 5144:Chronic solvent-induced encephalopathy 2918: 880:. Philadelphia: W.B Saunders Company. 823: 266:Pathogen Associated Molecular Patterns 4668:Alcohol-induced respiratory reactions 4302: 3733:List of dry communities by U.S. state 2892: 2733: 1977:Small intestinal bacterial overgrowth 1592: 1454: 1452: 1070: 1068: 330:(with associated variceal bleeding), 322:or an elevated blood pressure in the 170: 3246:List of methanol poisoning incidents 770: 768: 766: 764: 762: 760: 716: 714: 712: 710: 708: 305:Danger associated molecular patterns 287:in the liver as well as acting as a 251:) or immunogenic fungi entering the 225:Depiction of a liver failure patient 3967:Alcohol consumption recommendations 3892:Temperance and Good Citizenship Day 878:Robbins Pathologic Basis of Disease 446:Pathogenesis alcoholic liver injury 13: 5175:Anabolic-androgenic steroids abuse 4804:Synthetic cannabinoid use disorder 3691:Alcohol packaging warning messages 3303:Alcohol use among college students 2965:Drunk driving in the United States 1459:Im, Gene; Cameron, Andrew (2019). 1449: 1349: 1175: 1132: 1065: 1043:10.1097/01.ALC.0000106301.39746.EB 720: 527:have recommended corticosteroids. 229: 124:(yellowing of the skin and eyes), 14: 5224: 4724:Caffeine-induced anxiety disorder 4250:Non-alcoholic fatty liver disease 4230:Index of alcohol-related articles 3673:Administrative License Suspension 2862:Spontaneous bacterial peritonitis 2709:Exocrine pancreatic insufficiency 1495: 817: 757: 705: 163:Severe cases may be treated with 4777:Cannabinoid hyperemesis syndrome 4283: 4282: 3684:Alcoholic beverage control state 3480:Andrew Johnson alcoholism debate 2607:Secondary sclerosing cholangitis 1246:10.1111/j.1572-0241.1999.01006.x 1096:10.1111/j.1478-3231.2011.02517.x 4734:Caffeine-induced sleep disorder 4626:Fetal alcohol spectrum disorder 3293:Alcohol in association football 1848:Gastric antral vascular ectasia 1843:Portal hypertensive gastropathy 1720:Gastroesophageal reflux disease 938:New England Journal of Medicine 876:Cotran; Kumar, Collins (1998). 469: 154:Maddrey's Discriminant Function 5128:Sudden sniffing death syndrome 4783:Intravenous marijuana syndrome 4377:Post-acute-withdrawal syndrome 3505:List of deaths through alcohol 3323:Epidemiology of binge drinking 3127:Subjective response to alcohol 2602:Primary sclerosing cholangitis 2452:Hepatic veno-occlusive disease 2274:Solitary rectal ulcer syndrome 1021: 972: 680: 368:, an antagonistic cytokine of 1: 4955:Opioid-induced endocrinopathy 3990:Sweat alcohol content monitor 3025:Alcoholism in rural Australia 2659:Sphincter of Oddi dysfunction 644: 519: 465:Alcohol related liver disease 275:in the liver via the enzymes 104:) due to excessive intake of 5168:Anabolic-androgenic steroids 4695:(alcohol use disorder (AUD)) 4637:Positional alcohol nystagmus 4602:Alcohol-related brain damage 3913:Adult Children of Alcoholics 3701:Drunk driving law by country 3117:Long-term effects of alcohol 3035:Disease theory of alcoholism 3020:Alcoholism in family systems 3010:Alcohol and Native Americans 2568:Postcholecystectomy syndrome 2087:Intestinal pseudoobstruction 1695:Esophageal motility disorder 1201:10.1053/j.gastro.2009.04.062 997:10.1097/HC9.0000000000000296 594: 525:Clinical practice guidelines 494: 183:). It may also present with 7: 5032:Benzodiazepine use disorder 4961:Opioid-induced constipation 4949:Opioid-induced hyperalgesia 4643:Wernicke–Korsakoff syndrome 4607:Alcohol withdrawal syndrome 4396:Substance-related disorders 4361:Substance-induced psychosis 4333:substance-related disorders 3640:International whisk(e)y day 2954:Driving under the influence 824:Amodio, Piero (June 2018). 622: 128:(fluid accumulation in the 10: 5229: 4729:Caffeine-induced psychosis 4660:Respiratory tract diseases 4645:(WKS, Korsakoff psychosis) 4442:Combined drug intoxication 4156:Christian views on alcohol 3762:List of alcohol laws of US 3040:High-functioning alcoholic 2553:Gallstone / Cholelithiasis 2077:Functional colonic disease 1873:Zollinger–Ellison syndrome 1477:10.1016/j.jhep.2018.11.007 509:aspartate aminotransferase 5203:Health effects of alcohol 5159: 5113: 5074: 5038:Benzodiazepine dependence 5022:Benzodiazepine withdrawal 4983: 4926: 4882: 4853: 4832:Prenatal cocaine exposure 4814: 4759: 4711: 4685: 4658: 4580: 4549: 4530: 4495:Gastrointestinal diseases 4493: 4469: 4462: 4453: 4419: 4339: 4278: 4222: 4176: 4146: 4070: 4055:Alcoholic spirits measure 4040:Low-alcoholic malt drinks 3954: 3798: 3770: 3721:Ignition interlock device 3663: 3654: 3610:Drunken monkey hypothesis 3543: 3472: 3443:Routes of administration 3224: 3135: 3104: 3072:Alcohol congener analysis 3054: 3015:Alcoholism in adolescence 3000: 2937: 2926: 2847: 2726: 2667: 2581: 2538: 2384: 2375: 2328: 2282: 2237: 2123: 2010: 1900: 1887: 1762: 1754:Acute esophageal necrosis 1636: 1627: 1562: 1503: 1277:American Family Physician 1153:10.1016/j.cld.2012.08.001 985:Hepatology Communications 735:10.1016/j.cld.2018.09.005 179:levels (as determined by 77: 67: 55: 35: 26: 21: 4597:Alcoholic polyneuropathy 4561:Alcohol-related dementia 4479:Alcoholic cardiomyopathy 4432:Polysubstance dependence 4405:Psychological dependence 1853:Gastric dumping syndrome 1728:Laryngopharyngeal reflux 1715:Diffuse esophageal spasm 1141:Clinics in Liver Disease 723:Clinics in Liver Disease 513:alanine aminotransferase 5017:Benzodiazepine overdose 4649:Wernicke encephalopathy 4503:Alcoholic liver disease 4471:Cardiovascular diseases 4235:Alcohol and spaceflight 3977:Alcohol server training 3850:Managed alcohol program 3428:Binge drinking devices 3122:Pharmacology of ethanol 2469:Alcoholic liver disease 2002:Bile acid malabsorption 1946:Peptic (duodenal) ulcer 390:Ballooning degeneration 285:reactive oxygen species 114:alcoholic liver disease 5103:Amphetamine dependence 5064:Barbiturate dependence 4895:Green Tobacco Sickness 4793:Amotivational syndrome 4673:Alcoholic lung disease 4613:Alcoholic hallucinosis 4592:Alcoholic hallucinosis 4540:Alcoholic ketoacidosis 4484:Alcohol flush reaction 4352:Substance intoxication 3840:Alcohol rehabilitation 3808:Alcohol detoxification 3711:Field sobriety testing 3596:Health effects of wine 3564:International Beer Day 3328:Holiday heart syndrome 2479:Hepatic encephalopathy 1863:Buried bumper syndrome 1794:Peptic (gastric) ulcer 1678:Mallory–Weiss syndrome 1621:human digestive system 613:hepatic encephalopathy 466: 447: 380:Mallory's hyaline body 352:Due to the release of 281:aldehyde dehydrogenase 226: 216:hepatic stellate cells 185:Hepatic encephalopathy 138:hepatic encephalopathy 4798:Cannabis use disorder 4521:Auto-brewery syndrome 4092:Disulfiram-like drugs 3632:Ritual use of alcohol 3601:Wine and food pairing 3586:ApĂ©ritif and digestif 3237:Adulterated moonshine 3084:Blood alcohol content 3046:Seeing pink elephants 2704:Pancreatic pseudocyst 2573:Porcelain gallbladder 1685:Zenker's diverticulum 1465:Journal of Hepatology 1426:10.1056/NEJMoa1412278 950:10.1056/NEJMra2207599 662:"Alcoholic hepatitis" 584:Liver Transplantation 503:, including elevated 464: 445: 283:. Acetaldehyde forms 249:enterococcus faecalis 224: 218:to produce collagen. 5054:Barbiturate overdose 4827:Cocaine intoxication 4567:Alcohol intoxication 4409:Substance dependence 4161:Alcohol in the Bible 4148:Religion and alcohol 4114:General anaesthetics 3907:Alcoholics Anonymous 3865:List of mixed drinks 3318:Alcohol intoxication 3233:Adulterated alcohol 2508:Hepatorenal syndrome 2447:Budd–Chiari syndrome 2404:Autoimmune hepatitis 2229:Intestinal adhesions 1987:Short bowel syndrome 1816:Functional dyspepsia 1734:Esophageal stricture 1700:Nutcracker esophagus 1234:Am. J. Gastroenterol 501:liver function tests 181:liver function tests 112:, an early stage of 5087:Stimulant psychosis 4972:Opioid use disorder 4916:Nicotine dependence 4906:Nicotine withdrawal 4749:Caffeine dependence 4509:Alcoholic hepatitis 4401:Physical dependence 4372:Neonatal withdrawal 4240:Gateway drug effect 4026:Low-alcohol drinks 3855:Non-alcoholic drink 3790:Temperance movement 3772:Alcohol prohibition 3495:Gilbert Paul Jordan 3485:Dionysian Mysteries 3269:on college campuses 3264:Alcohol advertising 2982:Public intoxication 2647:Choledocholithiasis 2518:Metabolic disorders 2484:Acute liver failure 2457:Portal hypertension 2409:Alcoholic hepatitis 2252:Radiation proctitis 2171:Mesenteric ischemia 2143:Gastroenterocolitis 1972:Blind loop syndrome 1782:MĂ©nĂ©trier's disease 1690:Barrett's esophagus 1084:Liver International 830:Liver International 617:acute kidney injury 320:portal hypertension 144:dysfunction due to 90:Alcoholic hepatitis 22:Alcoholic hepatitis 4901:Nicotine poisoning 4843:Cocaine dependence 4772:Cannabis arteritis 4632:Korsakoff syndrome 4532:Endocrine diseases 4072:Addiction medicine 4015:Get Your Sexy Back 3955:Alcohol limitation 3931:Sober living house 3897:Twelve-step groups 3830:Brief intervention 3823:Open-container law 3785:Neo-prohibitionism 3745:Legal drinking age 3551:Alcoholic beverage 3452:Alcohol inhalation 3367:Drinking in public 3345:Blackout Wednesday 3203:Beverage-specific 2920:Alcohol and health 2822:Undefined location 2813:Grynfeltt–Lesshaft 2714:Pancreatic fistula 2697:Pancreatic abscess 2652:Biliary dyskinesia 2623:Mirizzi's syndrome 2124:Large and/or small 1804:Dieulafoy's lesion 1673:Boerhaave syndrome 1563:External resources 793:10.1111/acer.13108 467: 448: 328:esophageal varices 293:lipid peroxidation 253:portal circulation 227: 171:Signs and symptoms 5190: 5189: 4944:Opioid withdrawal 4707: 4706: 4681: 4680: 4296: 4295: 4218: 4217: 4168:Islam and alcohol 4102:Calcium carbimide 3972:Alcohol education 3860:List of cocktails 3835:Designated driver 3813:Alcohol-free zone 3716:Hip flask defence 3650: 3649: 3591:Hangover remedies 3535:Whiskey Rebellion 3525:Six o'clock swill 3313:Austrian syndrome 3252:Surrogate alcohol 3242:Denatured alcohol 3214:Red wine headache 2886: 2885: 2882: 2881: 2722: 2721: 2324: 2323: 2181:Bowel obstruction 1883: 1882: 1586: 1585: 1376:10.1002/hep.29240 1324:10.1002/hep.30866 944:(26): 2436–2448. 843:10.1111/liv.13752 462: 312:fibrotic response 87: 86: 16:Medical condition 5220: 5134:Toluene toxicity 4618:Delirium tremens 4514:Zieve's syndrome 4467: 4466: 4460: 4459: 4323: 4316: 4309: 4300: 4299: 4286: 4285: 4085:Chlordiazepoxide 4035:Low-alcohol beer 3679:Alcohol monopoly 3661: 3660: 3581:Drinking culture 3574:Women in brewing 3457:Vodka eyeballing 3424:Passive drinking 2935: 2934: 2913: 2906: 2899: 2890: 2889: 2874:Pneumoperitoneum 2731: 2730: 2641:Common bile duct 2523:Wilson's disease 2513:Peliosis hepatis 2382: 2381: 2259:Proctalgia fugax 2166:Abdominal angina 2091:Ogilvie syndrome 2040:Pseudomembranous 1898: 1897: 1858:Gastric volvulus 1823:Pyloric stenosis 1634: 1633: 1619:Diseases of the 1613: 1606: 1599: 1590: 1589: 1501: 1500: 1489: 1488: 1456: 1447: 1446: 1428: 1403: 1397: 1396: 1378: 1369:(5): 1464–1473. 1353: 1347: 1346: 1336: 1326: 1302: 1293: 1292: 1272: 1266: 1265: 1228: 1222: 1221: 1203: 1188:Gastroenterology 1179: 1173: 1172: 1136: 1130: 1129: 1127: 1126: 1120: 1114:. Archived from 1081: 1072: 1063: 1062: 1025: 1019: 1018: 1008: 976: 970: 969: 933: 892: 891: 873: 856: 855: 845: 821: 815: 814: 804: 787:(7): 1390–1402. 772: 755: 754: 718: 703: 702: 700: 698: 684: 678: 677: 675: 673: 658: 536:Child-Pugh score 463: 316:sinusoidal cells 130:abdominal cavity 62:Gastroenterology 31: 19: 18: 5228: 5227: 5223: 5222: 5221: 5219: 5218: 5217: 5193: 5192: 5191: 5186: 5155: 5116: 5109: 5070: 4988: 4979: 4939:Opioid overdose 4922: 4878: 4849: 4810: 4755: 4703: 4677: 4654: 4583: 4576: 4553:system diseases 4552: 4545: 4526: 4489: 4449: 4421: 4415: 4392:Substance abuse 4335: 4327: 4297: 4292: 4274: 4255:Self-medication 4214: 4172: 4142: 4080:Benzodiazepines 4066: 3950: 3936:Sobering center 3921:Sober companion 3902:Al-Anon/Alateen 3794: 3766: 3656: 3646: 3539: 3468: 3408:In vino veritas 3402:Hair of the dog 3220: 3136:Adverse effects 3131: 3100: 3050: 2996: 2940: 2939:Alcohol-related 2930: 2922: 2917: 2887: 2878: 2843: 2832:Internal hernia 2718: 2663: 2628:Biliary fistula 2586: 2577: 2563:Adenomyomatosis 2558:Cholesterolosis 2534: 2528:Hemochromatosis 2399:Viral hepatitis 2371: 2320: 2278: 2264:Rectal prolapse 2233: 2200:Fecal impaction 2190:Intussusception 2153:Crohn's disease 2119: 2102:Toxic megacolon 2014: 2012:Large intestine 2006: 1951:Curling's ulcer 1904: 1902:Small intestine 1891: 1879: 1787:Gastroenteritis 1758: 1623: 1617: 1587: 1582: 1581: 1558: 1557: 1512: 1498: 1493: 1492: 1457: 1450: 1419:(17): 1619–28. 1413:N. Engl. J. Med 1404: 1400: 1354: 1350: 1303: 1296: 1273: 1269: 1229: 1225: 1180: 1176: 1137: 1133: 1124: 1122: 1118: 1079: 1073: 1066: 1026: 1022: 977: 973: 934: 895: 888: 874: 859: 822: 818: 773: 758: 719: 706: 696: 694: 692:medlineplus.gov 686: 685: 681: 671: 669: 660: 659: 652: 647: 639:Steatohepatitis 625: 597: 578:-acetylcysteine 550:Corticosteroids 522: 497: 472: 450: 347:clotting factor 245:tight junctions 232: 230:Pathophysiology 208:steatohepatitis 173: 165:glucocorticoids 45:histopathologic 17: 12: 11: 5: 5226: 5216: 5215: 5210: 5205: 5188: 5187: 5185: 5184: 5179: 5178: 5177: 5163: 5161: 5157: 5156: 5154: 5153: 5152: 5151: 5149:Inhalant abuse 5146: 5138: 5137: 5136: 5131: 5121: 5119: 5111: 5110: 5108: 5107: 5106: 5105: 5091: 5090: 5089: 5080: 5078: 5072: 5071: 5069: 5068: 5067: 5066: 5058: 5057: 5056: 5042: 5041: 5040: 5035: 5026: 5025: 5024: 5019: 5009:benzodiazepine 5005: 5004: 5003: 4994: 4992: 4981: 4980: 4978: 4977: 4976: 4975: 4966: 4965: 4964: 4958: 4952: 4946: 4941: 4932: 4930: 4924: 4923: 4921: 4920: 4919: 4918: 4910: 4909: 4908: 4903: 4898: 4888: 4886: 4880: 4879: 4877: 4876: 4875: 4874: 4868: 4859: 4857: 4851: 4850: 4848: 4847: 4846: 4845: 4837: 4836: 4835: 4829: 4820: 4818: 4812: 4811: 4809: 4808: 4807: 4806: 4801: 4795: 4787: 4786: 4785: 4780: 4774: 4765: 4763: 4757: 4756: 4754: 4753: 4752: 4751: 4743: 4742: 4741: 4736: 4731: 4726: 4717: 4715: 4709: 4708: 4705: 4704: 4702: 4701: 4699:Binge drinking 4696: 4689: 4687: 4683: 4682: 4679: 4678: 4676: 4675: 4670: 4664: 4662: 4656: 4655: 4653: 4652: 4646: 4640: 4634: 4629: 4623: 4622: 4621: 4615: 4604: 4599: 4594: 4588: 4586: 4578: 4577: 4575: 4574: 4569: 4564: 4557: 4555: 4547: 4546: 4544: 4543: 4536: 4534: 4528: 4527: 4525: 4524: 4518: 4517: 4516: 4511: 4499: 4497: 4491: 4490: 4488: 4487: 4481: 4475: 4473: 4464: 4457: 4451: 4450: 4448: 4447: 4446: 4445: 4436: 4435: 4434: 4425: 4423: 4417: 4416: 4414: 4413: 4412: 4411: 4398: 4384: 4383: 4382: 4381: 4380: 4374: 4363: 4358: 4343: 4341: 4337: 4336: 4326: 4325: 4318: 4311: 4303: 4294: 4293: 4291: 4290: 4279: 4276: 4275: 4273: 4272: 4270:French paradox 4267: 4262: 4257: 4252: 4247: 4242: 4237: 4232: 4226: 4224: 4220: 4219: 4216: 4215: 4213: 4212: 4207: 4202: 4197: 4192: 4180: 4178: 4174: 4173: 4171: 4170: 4165: 4164: 4163: 4152: 4150: 4144: 4143: 4141: 4140: 4139: 4138: 4133: 4126:Sulfonic acids 4123: 4122: 4121: 4111: 4110: 4109: 4104: 4099: 4089: 4088: 4087: 4076: 4074: 4068: 4067: 4065: 4064: 4063: 4062: 4060:Standard drink 4057: 4049: 4048: 4047: 4042: 4037: 4032: 4024: 4022:Liquor license 4019: 4018: 4017: 4009: 4004: 3999: 3994: 3993: 3992: 3987: 3979: 3974: 3969: 3964: 3958: 3956: 3952: 3951: 3949: 3948: 3943: 3938: 3933: 3928: 3923: 3918: 3917: 3916: 3910: 3904: 3894: 3889: 3887:Temperance bar 3884: 3879: 3878: 3877: 3872: 3867: 3862: 3852: 3847: 3842: 3837: 3832: 3827: 3826: 3825: 3820: 3810: 3804: 3802: 3796: 3795: 3793: 3792: 3787: 3782: 3776: 3774: 3768: 3767: 3765: 3764: 3759: 3758: 3757: 3752: 3742: 3737: 3736: 3735: 3725: 3724: 3723: 3718: 3713: 3708: 3698: 3693: 3688: 3687: 3686: 3676: 3669: 3667: 3658: 3652: 3651: 3648: 3647: 3645: 3644: 3643: 3642: 3634: 3629: 3628: 3627: 3617: 3612: 3607: 3606: 3605: 3604: 3603: 3593: 3588: 3578: 3577: 3576: 3571: 3566: 3561: 3553: 3547: 3545: 3541: 3540: 3538: 3537: 3532: 3527: 3522: 3517: 3512: 3507: 3502: 3497: 3492: 3487: 3482: 3476: 3474: 3470: 3469: 3467: 3466: 3461: 3460: 3459: 3454: 3449: 3441: 3440: 3439: 3434: 3426: 3421: 3416: 3411: 3404: 3399: 3394: 3389: 3384: 3379: 3374: 3369: 3364: 3363: 3362: 3357: 3347: 3342: 3337: 3336: 3335: 3330: 3325: 3320: 3315: 3308:Binge drinking 3305: 3300: 3298:Alcohol powder 3295: 3290: 3288:Alcohol myopia 3285: 3284: 3283: 3273: 3272: 3271: 3261: 3256: 3255: 3254: 3249: 3239: 3230: 3228: 3222: 3221: 3219: 3218: 3217: 3216: 3210: 3201: 3196: 3187: 3182: 3177: 3172: 3167: 3166: 3165: 3155: 3150: 3145: 3139: 3137: 3133: 3132: 3130: 3129: 3124: 3119: 3114: 3108: 3106: 3102: 3101: 3099: 3098: 3096:Wine chemistry 3093: 3088: 3087: 3086: 3076: 3075: 3074: 3064: 3062:Beer chemistry 3058: 3056: 3052: 3051: 3049: 3048: 3043: 3037: 3032: 3027: 3022: 3017: 3012: 3006: 3004: 2998: 2997: 2995: 2994: 2989: 2984: 2979: 2974: 2969: 2968: 2967: 2957: 2951: 2945: 2943: 2932: 2924: 2923: 2916: 2915: 2908: 2901: 2893: 2884: 2883: 2880: 2879: 2877: 2876: 2871: 2869:Hemoperitoneum 2866: 2865: 2864: 2853: 2851: 2845: 2844: 2842: 2841: 2840: 2839: 2834: 2829: 2818: 2817: 2816: 2815: 2810: 2797: 2796: 2791: 2786: 2781: 2776: 2775: 2774: 2769: 2758: 2757: 2752: 2751: 2750: 2739: 2737: 2728: 2724: 2723: 2720: 2719: 2717: 2716: 2711: 2706: 2701: 2700: 2699: 2694: 2689: 2684: 2673: 2671: 2665: 2664: 2662: 2661: 2656: 2655: 2654: 2649: 2636: 2635: 2630: 2625: 2616: 2615: 2614: 2609: 2604: 2593: 2591: 2579: 2578: 2576: 2575: 2570: 2565: 2560: 2555: 2550: 2544: 2542: 2536: 2535: 2533: 2532: 2531: 2530: 2525: 2515: 2510: 2505: 2504: 2503: 2498: 2488: 2487: 2486: 2481: 2471: 2466: 2465: 2464: 2459: 2454: 2449: 2437: 2436: 2435: 2425: 2424: 2423: 2413: 2412: 2411: 2406: 2401: 2390: 2388: 2379: 2373: 2372: 2370: 2369: 2368: 2367: 2357: 2356: 2355: 2350: 2340: 2338:Blood in stool 2334: 2332: 2326: 2325: 2322: 2321: 2319: 2318: 2313: 2311:Anal dysplasia 2308: 2303: 2298: 2288: 2286: 2280: 2279: 2277: 2276: 2271: 2266: 2261: 2256: 2255: 2254: 2243: 2241: 2235: 2234: 2232: 2231: 2226: 2225: 2224: 2214: 2213: 2212: 2202: 2197: 2192: 2187: 2178: 2176:Angiodysplasia 2173: 2168: 2157: 2156: 2155: 2145: 2140: 2139: 2138: 2127: 2125: 2121: 2120: 2118: 2117: 2111:Diverticulosis 2107:Diverticulitis 2104: 2095: 2094: 2093: 2084: 2074: 2069: 2068: 2067: 2062: 2057: 2052: 2047: 2042: 2032: 2026: 2024: 2008: 2007: 2005: 2004: 1999: 1997:Milroy disease 1994: 1989: 1984: 1979: 1974: 1969: 1967:Tropical sprue 1964: 1955: 1954: 1953: 1943: 1942: 1941: 1936: 1931: 1920: 1918: 1895: 1889:Lower GI tract 1885: 1884: 1881: 1880: 1878: 1877: 1876: 1875: 1865: 1860: 1855: 1850: 1845: 1840: 1835: 1830: 1825: 1820: 1819: 1818: 1808: 1807: 1806: 1801: 1791: 1790: 1789: 1784: 1779: 1768: 1766: 1760: 1759: 1757: 1756: 1751: 1746: 1741: 1736: 1731: 1725: 1724: 1723: 1717: 1712: 1707: 1702: 1692: 1687: 1682: 1681: 1680: 1675: 1665: 1664: 1663: 1658: 1653: 1642: 1640: 1631: 1629:Upper GI tract 1625: 1624: 1616: 1615: 1608: 1601: 1593: 1584: 1583: 1580: 1579: 1567: 1566: 1564: 1560: 1559: 1556: 1555: 1544: 1529: 1513: 1508: 1507: 1505: 1504:Classification 1497: 1496:External links 1494: 1491: 1490: 1471:(2): 328–334. 1448: 1398: 1348: 1334:2027.42/153536 1317:(1): 306–333. 1294: 1283:(4): 412–420. 1267: 1240:(4): 1018–22. 1223: 1194:(2): 541–548. 1174: 1147:(4): 659–666. 1131: 1064: 1037:(1): 131–136. 1020: 971: 893: 886: 857: 836:(6): 966–975. 816: 756: 704: 679: 666:mayoclinic.org 649: 648: 646: 643: 642: 641: 636: 631: 624: 621: 609:adipose tissue 607:metabolism in 596: 593: 592: 591: 581: 571: 568:Pentoxifylline 565: 547: 543: 521: 518: 496: 493: 492: 491: 488: 485: 482: 479: 476: 471: 468: 440: 439: 433: 424: 423: 401: 387: 231: 228: 214:by activating 172: 169: 85: 84: 81: 75: 74: 71: 65: 64: 59: 53: 52: 33: 32: 24: 23: 15: 9: 6: 4: 3: 2: 5225: 5214: 5213:Inflammations 5211: 5209: 5206: 5204: 5201: 5200: 5198: 5183: 5180: 5176: 5173: 5172: 5170: 5169: 5165: 5164: 5162: 5158: 5150: 5147: 5145: 5142: 5141: 5139: 5135: 5132: 5129: 5126: 5125: 5123: 5122: 5120: 5118: 5112: 5104: 5101: 5100: 5098: 5096: 5092: 5088: 5085: 5084: 5082: 5081: 5079: 5077: 5073: 5065: 5062: 5061: 5059: 5055: 5052: 5051: 5049: 5047: 5043: 5039: 5036: 5033: 5030: 5029: 5027: 5023: 5020: 5018: 5015: 5014: 5012: 5010: 5006: 5002: 4999: 4998: 4996: 4995: 4993: 4991: 4986: 4982: 4973: 4970: 4969: 4967: 4962: 4959: 4956: 4953: 4950: 4947: 4945: 4942: 4940: 4937: 4936: 4934: 4933: 4931: 4929: 4925: 4917: 4914: 4913: 4911: 4907: 4904: 4902: 4899: 4896: 4893: 4892: 4890: 4889: 4887: 4885: 4881: 4872: 4869: 4867: 4864: 4863: 4861: 4860: 4858: 4856: 4852: 4844: 4841: 4840: 4838: 4833: 4830: 4828: 4825: 4824: 4822: 4821: 4819: 4817: 4813: 4805: 4802: 4799: 4796: 4794: 4791: 4790: 4788: 4784: 4781: 4778: 4775: 4773: 4770: 4769: 4767: 4766: 4764: 4762: 4758: 4750: 4747: 4746: 4744: 4740: 4737: 4735: 4732: 4730: 4727: 4725: 4722: 4721: 4719: 4718: 4716: 4714: 4710: 4700: 4697: 4694: 4691: 4690: 4688: 4684: 4674: 4671: 4669: 4666: 4665: 4663: 4661: 4657: 4650: 4647: 4644: 4641: 4638: 4635: 4633: 4630: 4627: 4624: 4619: 4616: 4614: 4611: 4610: 4608: 4605: 4603: 4600: 4598: 4595: 4593: 4590: 4589: 4587: 4585: 4579: 4573: 4570: 4568: 4565: 4562: 4559: 4558: 4556: 4554: 4548: 4541: 4538: 4537: 4535: 4533: 4529: 4522: 4519: 4515: 4512: 4510: 4507: 4506: 4504: 4501: 4500: 4498: 4496: 4492: 4485: 4482: 4480: 4477: 4476: 4474: 4472: 4468: 4465: 4461: 4458: 4456: 4452: 4443: 4440: 4439: 4437: 4433: 4430: 4429: 4427: 4426: 4424: 4422:substance use 4418: 4410: 4406: 4402: 4399: 4397: 4393: 4390: 4389: 4388: 4385: 4378: 4375: 4373: 4370: 4369: 4367: 4364: 4362: 4359: 4357: 4356:Drug overdose 4353: 4350: 4349: 4348: 4345: 4344: 4342: 4338: 4334: 4331: 4324: 4319: 4317: 4312: 4310: 4305: 4304: 4301: 4289: 4281: 4280: 4277: 4271: 4268: 4266: 4263: 4261: 4258: 4256: 4253: 4251: 4248: 4246: 4245:Mood disorder 4243: 4241: 4238: 4236: 4233: 4231: 4228: 4227: 4225: 4221: 4211: 4208: 4206: 4203: 4201: 4198: 4196: 4193: 4191: 4190: 4186: 4182: 4181: 4179: 4175: 4169: 4166: 4162: 4159: 4158: 4157: 4154: 4153: 4151: 4149: 4145: 4137: 4134: 4132: 4129: 4128: 4127: 4124: 4120: 4119:Nitrous oxide 4117: 4116: 4115: 4112: 4108: 4105: 4103: 4100: 4098: 4095: 4094: 4093: 4090: 4086: 4083: 4082: 4081: 4078: 4077: 4075: 4073: 4069: 4061: 4058: 4056: 4053: 4052: 4050: 4046: 4043: 4041: 4038: 4036: 4033: 4031: 4030:Fermented tea 4028: 4027: 4025: 4023: 4020: 4016: 4013: 4012: 4010: 4008: 4005: 4003: 4000: 3998: 3995: 3991: 3988: 3986: 3983: 3982: 3980: 3978: 3975: 3973: 3970: 3968: 3965: 3963: 3960: 3959: 3957: 3953: 3947: 3944: 3942: 3939: 3937: 3934: 3932: 3929: 3927: 3926:Sober curious 3924: 3922: 3919: 3914: 3911: 3908: 3905: 3903: 3900: 3899: 3898: 3895: 3893: 3890: 3888: 3885: 3883: 3880: 3876: 3873: 3871: 3868: 3866: 3863: 3861: 3858: 3857: 3856: 3853: 3851: 3848: 3846: 3843: 3841: 3838: 3836: 3833: 3831: 3828: 3824: 3821: 3819: 3816: 3815: 3814: 3811: 3809: 3806: 3805: 3803: 3801: 3797: 3791: 3788: 3786: 3783: 3781: 3778: 3777: 3775: 3773: 3769: 3763: 3760: 3756: 3753: 3751: 3748: 3747: 3746: 3743: 3741: 3738: 3734: 3731: 3730: 3729: 3726: 3722: 3719: 3717: 3714: 3712: 3709: 3707: 3704: 3703: 3702: 3699: 3697: 3694: 3692: 3689: 3685: 3682: 3681: 3680: 3677: 3674: 3671: 3670: 3668: 3666: 3662: 3659: 3653: 3641: 3638: 3637: 3635: 3633: 3630: 3626: 3623: 3622: 3621: 3618: 3616: 3615:Ladies' night 3613: 3611: 3608: 3602: 3599: 3598: 3597: 3594: 3592: 3589: 3587: 3584: 3583: 3582: 3579: 3575: 3572: 3570: 3567: 3565: 3562: 3560: 3557: 3556: 3554: 3552: 3549: 3548: 3546: 3542: 3536: 3533: 3531: 3528: 3526: 3523: 3521: 3518: 3516: 3515:Rum Rebellion 3513: 3511: 3508: 3506: 3503: 3501: 3498: 3496: 3493: 3491: 3488: 3486: 3483: 3481: 3478: 3477: 3475: 3471: 3465: 3462: 3458: 3455: 3453: 3450: 3448: 3447:Alcohol enema 3445: 3444: 3442: 3438: 3435: 3433: 3430: 3429: 3427: 3425: 3422: 3420: 3417: 3415: 3412: 3410: 3409: 3405: 3403: 3400: 3398: 3397:Flaming drink 3395: 3393: 3392:Dutch courage 3390: 3388: 3385: 3383: 3380: 3378: 3377:Drunk walking 3375: 3373: 3372:Drunk dialing 3370: 3368: 3365: 3361: 3358: 3356: 3353: 3352: 3351: 3350:Drinking game 3348: 3346: 3343: 3341: 3338: 3334: 3331: 3329: 3326: 3324: 3321: 3319: 3316: 3314: 3311: 3310: 3309: 3306: 3304: 3301: 3299: 3296: 3294: 3291: 3289: 3286: 3282: 3279: 3278: 3277: 3274: 3270: 3267: 3266: 3265: 3262: 3260: 3259:Alcohol abuse 3257: 3253: 3250: 3247: 3243: 3240: 3238: 3235: 3234: 3232: 3231: 3229: 3227: 3226:Social issues 3223: 3215: 3211: 3209: 3205: 3204: 3202: 3200: 3197: 3195: 3191: 3188: 3186: 3183: 3181: 3178: 3176: 3173: 3171: 3168: 3164: 3163:breast cancer 3161: 3160: 3159: 3156: 3154: 3151: 3149: 3146: 3144: 3141: 3140: 3138: 3134: 3128: 3125: 3123: 3120: 3118: 3115: 3113: 3110: 3109: 3107: 3103: 3097: 3094: 3092: 3091:Fusel alcohol 3089: 3085: 3082: 3081: 3080: 3077: 3073: 3070: 3069: 3068: 3065: 3063: 3060: 3059: 3057: 3053: 3047: 3044: 3041: 3038: 3036: 3033: 3031: 3028: 3026: 3023: 3021: 3018: 3016: 3013: 3011: 3008: 3007: 3005: 3003: 2999: 2993: 2990: 2988: 2985: 2983: 2980: 2978: 2975: 2973: 2970: 2966: 2963: 2962: 2961: 2960:Drunk driving 2958: 2955: 2952: 2950: 2947: 2946: 2944: 2942: 2936: 2933: 2929: 2925: 2921: 2914: 2909: 2907: 2902: 2900: 2895: 2894: 2891: 2875: 2872: 2870: 2867: 2863: 2860: 2859: 2858: 2855: 2854: 2852: 2850: 2846: 2838: 2835: 2833: 2830: 2828: 2825: 2824: 2823: 2820: 2819: 2814: 2811: 2809: 2806: 2805: 2804: 2803: 2799: 2798: 2795: 2792: 2790: 2787: 2785: 2782: 2780: 2777: 2773: 2770: 2768: 2765: 2764: 2763: 2760: 2759: 2756: 2753: 2749: 2746: 2745: 2744: 2743:Diaphragmatic 2741: 2740: 2738: 2736: 2732: 2729: 2725: 2715: 2712: 2710: 2707: 2705: 2702: 2698: 2695: 2693: 2690: 2688: 2685: 2683: 2680: 2679: 2678: 2675: 2674: 2672: 2670: 2666: 2660: 2657: 2653: 2650: 2648: 2645: 2644: 2643: 2642: 2638: 2637: 2634: 2631: 2629: 2626: 2624: 2620: 2617: 2613: 2610: 2608: 2605: 2603: 2600: 2599: 2598: 2595: 2594: 2592: 2590: 2584: 2580: 2574: 2571: 2569: 2566: 2564: 2561: 2559: 2556: 2554: 2551: 2549: 2548:Cholecystitis 2546: 2545: 2543: 2541: 2537: 2529: 2526: 2524: 2521: 2520: 2519: 2516: 2514: 2511: 2509: 2506: 2502: 2499: 2497: 2494: 2493: 2492: 2491:Liver abscess 2489: 2485: 2482: 2480: 2477: 2476: 2475: 2474:Liver failure 2472: 2470: 2467: 2463: 2460: 2458: 2455: 2453: 2450: 2448: 2445: 2444: 2443: 2442: 2438: 2434: 2431: 2430: 2429: 2426: 2422: 2419: 2418: 2417: 2414: 2410: 2407: 2405: 2402: 2400: 2397: 2396: 2395: 2392: 2391: 2389: 2387: 2383: 2380: 2378: 2374: 2366: 2363: 2362: 2361: 2358: 2354: 2351: 2349: 2346: 2345: 2344: 2341: 2339: 2336: 2335: 2333: 2331: 2327: 2317: 2314: 2312: 2309: 2307: 2304: 2302: 2299: 2297: 2293: 2290: 2289: 2287: 2285: 2281: 2275: 2272: 2270: 2267: 2265: 2262: 2260: 2257: 2253: 2250: 2249: 2248: 2245: 2244: 2242: 2240: 2236: 2230: 2227: 2223: 2220: 2219: 2218: 2215: 2211: 2208: 2207: 2206: 2203: 2201: 2198: 2196: 2193: 2191: 2188: 2186: 2182: 2179: 2177: 2174: 2172: 2169: 2167: 2163: 2162: 2158: 2154: 2151: 2150: 2149: 2146: 2144: 2141: 2137: 2134: 2133: 2132: 2131:Enterocolitis 2129: 2128: 2126: 2122: 2116: 2112: 2108: 2105: 2103: 2099: 2096: 2092: 2088: 2085: 2083: 2080: 2079: 2078: 2075: 2073: 2070: 2066: 2063: 2061: 2058: 2056: 2053: 2051: 2048: 2046: 2043: 2041: 2038: 2037: 2036: 2033: 2031: 2028: 2027: 2025: 2022: 2018: 2013: 2009: 2003: 2000: 1998: 1995: 1993: 1990: 1988: 1985: 1983: 1980: 1978: 1975: 1973: 1970: 1968: 1965: 1963: 1959: 1958:Malabsorption 1956: 1952: 1949: 1948: 1947: 1944: 1940: 1937: 1935: 1932: 1930: 1927: 1926: 1925: 1922: 1921: 1919: 1916: 1912: 1908: 1903: 1899: 1896: 1894: 1890: 1886: 1874: 1871: 1870: 1869: 1866: 1864: 1861: 1859: 1856: 1854: 1851: 1849: 1846: 1844: 1841: 1839: 1836: 1834: 1833:Gastroparesis 1831: 1829: 1826: 1824: 1821: 1817: 1814: 1813: 1812: 1809: 1805: 1802: 1800: 1799:Cushing ulcer 1797: 1796: 1795: 1792: 1788: 1785: 1783: 1780: 1778: 1775: 1774: 1773: 1770: 1769: 1767: 1765: 1761: 1755: 1752: 1750: 1747: 1745: 1744:Megaesophagus 1742: 1740: 1737: 1735: 1732: 1729: 1726: 1721: 1718: 1716: 1713: 1711: 1708: 1706: 1703: 1701: 1698: 1697: 1696: 1693: 1691: 1688: 1686: 1683: 1679: 1676: 1674: 1671: 1670: 1669: 1666: 1662: 1659: 1657: 1654: 1652: 1649: 1648: 1647: 1644: 1643: 1641: 1639: 1635: 1632: 1630: 1626: 1622: 1614: 1609: 1607: 1602: 1600: 1595: 1594: 1591: 1578: 1574: 1573: 1569: 1568: 1565: 1561: 1554: 1550: 1549: 1545: 1543: 1539: 1538: 1534: 1530: 1528: 1524: 1523: 1519: 1515: 1514: 1511: 1506: 1502: 1486: 1482: 1478: 1474: 1470: 1466: 1462: 1455: 1453: 1444: 1440: 1436: 1432: 1427: 1422: 1418: 1414: 1410: 1402: 1394: 1390: 1386: 1382: 1377: 1372: 1368: 1364: 1360: 1352: 1344: 1340: 1335: 1330: 1325: 1320: 1316: 1312: 1308: 1301: 1299: 1290: 1286: 1282: 1278: 1271: 1263: 1259: 1255: 1251: 1247: 1243: 1239: 1235: 1227: 1219: 1215: 1211: 1207: 1202: 1197: 1193: 1189: 1185: 1178: 1170: 1166: 1162: 1158: 1154: 1150: 1146: 1142: 1135: 1121:on 2018-07-19 1117: 1113: 1109: 1105: 1101: 1097: 1093: 1089: 1085: 1078: 1071: 1069: 1060: 1056: 1052: 1048: 1044: 1040: 1036: 1032: 1024: 1016: 1012: 1007: 1002: 998: 994: 991:(12): e0296. 990: 986: 982: 975: 967: 963: 959: 955: 951: 947: 943: 939: 932: 930: 928: 926: 924: 922: 920: 918: 916: 914: 912: 910: 908: 906: 904: 902: 900: 898: 889: 887:0-7216-7335-X 883: 879: 872: 870: 868: 866: 864: 862: 853: 849: 844: 839: 835: 831: 827: 820: 812: 808: 803: 798: 794: 790: 786: 782: 778: 771: 769: 767: 765: 763: 761: 752: 748: 744: 740: 736: 732: 728: 724: 717: 715: 713: 711: 709: 693: 689: 683: 668:. Mayo Clinic 667: 663: 657: 655: 650: 640: 637: 635: 632: 630: 629:AST/ALT ratio 627: 626: 620: 618: 614: 610: 606: 602: 589: 588:United States 585: 582: 579: 577: 572: 569: 566: 563: 559: 555: 551: 548: 544: 541: 540: 539: 537: 533: 528: 526: 517: 514: 510: 506: 502: 489: 486: 483: 480: 477: 474: 473: 444: 437: 434: 432: 429: 428: 427: 421: 417: 416:Kupffer cells 413: 409: 405: 402: 399: 395: 391: 388: 385: 381: 378: 377: 376: 373: 371: 367: 363: 359: 355: 350: 348: 344: 343:cholangiocyte 339: 337: 333: 329: 325: 321: 317: 313: 308: 306: 302: 298: 297:mitochondrial 294: 290: 286: 282: 278: 274: 269: 267: 262: 258: 254: 250: 246: 242: 237: 223: 219: 217: 213: 209: 205: 201: 196: 194: 190: 186: 182: 178: 168: 166: 161: 159: 155: 151: 147: 146:liver failure 143: 139: 135: 131: 127: 123: 119: 115: 111: 107: 103: 99: 95: 91: 82: 80: 76: 72: 70: 69:Complications 66: 63: 60: 58: 54: 50: 49:H&E stain 46: 42: 38: 34: 30: 25: 20: 5166: 5093: 5044: 5007: 4855:Hallucinogen 4582:Neurological 4508: 4330:Psychoactive 4205:Gin Act 1751 4195:Bratt System 4188: 4184: 4051:Measurement 3985:Breathalyzer 3755:Shoulder tap 3407: 3281:Beer goggles 2821: 2800: 2677:Pancreatitis 2639: 2589:biliary tree 2462:Nutmeg liver 2439: 2408: 2365:Hematochezia 2316:Pruritus ani 2301:Anal abscess 2296:Anal fistula 2292:Anal fissure 2205:Constipation 2159: 2030:Appendicitis 1838:Gastroptosis 1828:Achlorhydria 1667: 1656:Eosinophilic 1570: 1546: 1531: 1516: 1468: 1464: 1416: 1412: 1401: 1366: 1362: 1351: 1314: 1310: 1280: 1276: 1270: 1237: 1233: 1226: 1191: 1187: 1177: 1144: 1140: 1134: 1123:. Retrieved 1116:the original 1090:(1): 79–84. 1087: 1083: 1034: 1030: 1023: 988: 984: 974: 941: 937: 877: 833: 829: 819: 784: 780: 729:(1): 81–98. 726: 722: 695:. Retrieved 691: 682: 670:. Retrieved 665: 605:triglyceride 598: 575: 573:Intravenous 558:prednisolone 529: 523: 498: 470:Epidemiology 425: 408:neutrophilic 404:Inflammation 374: 351: 340: 336:splenomegaly 324:portal veins 309: 299:damage, and 273:acetaldehyde 270: 233: 204:fatty change 197: 174: 162: 98:inflammation 89: 88: 79:Risk factors 41:Mallory body 5095:amphetamine 5046:barbiturate 4185:Beer Street 4136:Homotaurine 4131:Acamprosate 4002:Dry January 3981:Monitoring 3882:Teetotalism 3875:Malt drinks 3665:Alcohol law 3437:Yard of ale 3382:Drunkorexia 3194:intolerance 2987:Rum-running 2857:Peritonitis 2619:Cholestasis 2597:Cholangitis 2540:Gallbladder 2428:Fatty liver 2348:Hematemesis 2330:GI bleeding 2136:Necrotizing 2065:Lymphocytic 2060:Collagenous 2055:Microscopic 1992:Steatorrhea 1893:Enteropathy 1739:Inlet patch 1661:Herpetiform 1646:Esophagitis 1572:MedlinePlus 634:Lille Model 562:Lille Model 546:infections. 398:cholestasis 384:hepatocytes 301:glutathione 241:enterocytes 193:obtundation 110:fatty liver 5197:Categories 5076:Stimulants 4739:Caffeinism 4693:Alcoholism 4366:Withdrawal 4265:Town drunk 4097:Disulfiram 4045:Small beer 4011:Campaigns 3845:Drunk tank 3818:Dry campus 3728:Dry county 3510:Rum ration 3490:Dipsomania 3419:Pantsdrunk 3212:Red wine: 3002:Alcoholism 2992:Wine fraud 2849:Peritoneal 2827:Incisional 2748:Congenital 2692:Hereditary 2669:Pancreatic 2633:Haemobilia 2306:Hemorrhoid 2284:Anal canal 2222:Infectious 2210:Functional 2045:Ulcerative 1929:Duodenitis 1868:Gastrinoma 1363:Hepatology 1311:Hepatology 1125:2020-03-15 645:References 532:MELD Score 520:Management 420:parenchyma 289:DNA adduct 257:hepatocyte 236:hepatocyte 158:MELD score 39:showing a 37:Micrograph 5208:Hepatitis 5182:Chocolate 4584:disorders 4200:Dry state 4107:Cyanamide 3941:Sobrietol 3740:Last call 3706:DWI court 3559:Beer mile 3530:Speakeasy 3500:Gin Craze 3432:Beer bong 3387:Dry drunk 3360:Pregaming 3208:Potomania 3190:Tolerance 3180:Pregnancy 3055:Chemistry 2977:Nip joint 2972:Moonshine 2837:Richter's 2794:Spigelian 2789:Obturator 2779:Umbilical 2612:Ascending 2583:Bile duct 2416:Cirrhosis 2394:Hepatitis 2377:Accessory 2247:Proctitis 2098:Megacolon 2072:Dysentery 1982:Whipple's 1934:Jejunitis 1924:Enteritis 1811:Dyspepsia 1772:Gastritis 1705:Achalasia 1638:Esophagus 1443:205097413 1385:0270-9139 1210:0016-5085 1051:0145-6008 966:255251817 697:2 January 595:Prognosis 505:bilirubin 495:Diagnosis 436:Cirrhosis 200:cirrhosis 189:asterixis 118:cirrhosis 94:hepatitis 57:Specialty 5115:Volatile 4990:hypnotic 4985:Sedative 4884:Nicotine 4761:Cannabis 4713:Caffeine 4572:Hangover 4420:Combined 4288:Category 4189:Gin Lane 3946:Quit lit 3870:Spritzer 3800:Sobriety 3655:Alcohol 3636:Whiskey 3464:Sconcing 3414:Nightcap 3340:Blackout 3170:Cortisol 3067:Congener 2767:Indirect 2762:Inguinal 2496:Pyogenic 2441:Vascular 2217:Diarrhea 2195:Volvulus 2161:Vascular 2100: / 2089: / 2050:Ischemic 2017:Appendix 1907:Duodenum 1777:Atrophic 1651:Candidal 1485:30658734 1435:25901427 1393:28459138 1343:31314133 1289:35426628 1262:23116073 1254:10201476 1218:19445945 1169:25687227 1161:23101975 1112:43829150 1104:21745279 1059:14745311 1015:37994498 1006:10666984 958:36577100 852:29624860 811:27254289 751:53873388 743:30454835 623:See also 431:Fibrosis 261:exotoxin 212:fibrosis 156:and the 122:jaundice 5160:Related 5117:solvent 4928:Opioids 4816:Cocaine 4609:(AWS): 4551:Nervous 4505:(ALD): 4455:Alcohol 4340:General 4223:Related 4177:History 3962:0-0-1-3 3657:control 3544:General 3520:Shebeen 3473:History 3143:Anxiety 3105:Effects 3079:Ethanol 2928:Alcohol 2808:Petit's 2784:Femoral 2687:Chronic 2501:Amoebic 2269:Anismus 2035:Colitis 1962:Coeliac 1939:Ileitis 1911:Jejunum 1764:Stomach 1668:Rupture 1553:D006519 802:4930399 672:June 5, 412:lobules 394:protein 332:ascites 134:fatigue 126:ascites 106:alcohol 100:of the 5171:: SUD 5130:(SSDS) 4873:(HPPD) 4628:(FASD) 4379:(PAWS) 3997:FRAMES 3206:Beer: 3199:Weight 3175:Memory 3158:Cancer 2941:crimes 2802:Lumbar 2772:Direct 2755:Hiatus 2735:Hernia 2587:Other 2353:Melena 2239:Rectum 1722:(GERD) 1577:000281 1483:  1441:  1433:  1391:  1383:  1341:  1287:  1260:  1252:  1216:  1208:  1167:  1159:  1110:  1102:  1057:  1049:  1013:  1003:  964:  956:  884:  850:  809:  799:  749:  741:  601:PNPLA3 277:CYP2E1 177:enzyme 5034:(BUD) 4974:(OUD) 4963:(OIC) 4957:(OIE) 4951:(OIH) 4897:(GTS) 4834:(PCE) 4800:(CUD) 4779:(CHS) 4639:(PAN) 4620:(DTs) 4563:(ARD) 4542:(AKA) 4523:(ABS) 4486:(AFR) 4444:(CDI) 4260:Spins 3915:(ACA) 3909:(AA): 3675:(ALS) 3555:Beer 3333:Zapoy 3185:Sleep 3153:Brain 3148:Aging 3042:(HFA) 2956:(DUI) 2727:Other 2682:Acute 2433:MASLD 2386:Liver 2360:Lower 2343:Upper 2185:Ileus 2021:Colon 1915:Ileum 1730:(LPR) 1542:571.1 1527:K70.1 1439:S2CID 1258:S2CID 1165:S2CID 1119:(PDF) 1108:S2CID 1080:(PDF) 962:S2CID 747:S2CID 366:IL-13 358:PAMPs 354:DAMPs 150:death 142:brain 102:liver 5140:SUD 5124:SID 5099:SUD 5083:SID 5060:SUD 5050:SID 5028:SUD 5013:SID 4997:SID 4968:SUD 4935:SID 4912:SUD 4891:SID 4862:SID 4839:SUD 4823:SID 4789:SUD 4768:SID 4745:SUD 4720:SID 4651:(WE) 4438:SID 4428:SUD 4187:and 3355:list 2115:SCAD 1548:MeSH 1537:9-CM 1481:PMID 1431:PMID 1389:PMID 1381:ISSN 1339:PMID 1285:PMID 1250:PMID 1214:PMID 1206:ISSN 1157:PMID 1100:PMID 1055:PMID 1047:ISSN 1011:PMID 954:PMID 882:ISBN 848:PMID 807:PMID 739:PMID 699:2017 674:2022 615:and 370:IL-6 362:IL-6 356:and 334:and 279:and 136:and 43:, a 4686:SUD 4463:SID 4387:SUD 4347:SID 3276:Sex 2931:use 2421:PBC 2148:IBD 2082:IBS 1533:ICD 1518:ICD 1473:doi 1421:doi 1417:372 1371:doi 1329:hdl 1319:doi 1281:105 1242:doi 1196:doi 1192:137 1149:doi 1092:doi 1039:doi 1001:PMC 993:doi 946:doi 942:387 838:doi 797:PMC 789:doi 731:doi 534:or 511:to 132:), 92:is 5199:: 4407:/ 4403:/ 4394:/ 4368:: 4354:/ 2585:/ 2183:: 2164:: 1960:: 1575:: 1551:: 1540:: 1525:: 1522:10 1479:. 1469:70 1467:. 1463:. 1451:^ 1437:. 1429:. 1415:. 1411:. 1387:. 1379:. 1367:66 1365:. 1361:. 1337:. 1327:. 1315:71 1313:. 1309:. 1297:^ 1279:. 1256:. 1248:. 1238:94 1236:. 1212:. 1204:. 1190:. 1186:. 1163:. 1155:. 1145:16 1143:. 1106:. 1098:. 1088:32 1086:. 1082:. 1067:^ 1053:. 1045:. 1035:28 1033:. 1009:. 999:. 987:. 983:. 960:. 952:. 940:. 896:^ 860:^ 846:. 834:38 832:. 828:. 805:. 795:. 785:40 783:. 779:. 759:^ 745:. 737:. 727:23 725:. 707:^ 690:. 664:. 653:^ 619:. 406:– 338:. 295:, 160:. 5097:: 5048:: 5011:: 4987:/ 4322:e 4315:t 4308:v 3248:) 3244:( 3192:/ 2912:e 2905:t 2898:v 2621:/ 2294:/ 2113:/ 2109:/ 2023:) 2019:/ 2015:( 1917:) 1913:/ 1909:/ 1905:( 1612:e 1605:t 1598:v 1535:- 1520:- 1510:D 1487:. 1475:: 1445:. 1423:: 1395:. 1373:: 1345:. 1331:: 1321:: 1291:. 1264:. 1244:: 1220:. 1198:: 1171:. 1151:: 1128:. 1094:: 1061:. 1041:: 1017:. 995:: 989:7 968:. 948:: 890:. 854:. 840:: 813:. 791:: 753:. 733:: 701:. 676:. 576:N 400:. 140:( 96:( 51:.

Index


Micrograph
Mallory body
histopathologic
H&E stain
Specialty
Gastroenterology
Complications
Risk factors
hepatitis
inflammation
liver
alcohol
fatty liver
alcoholic liver disease
cirrhosis
jaundice
ascites
abdominal cavity
fatigue
hepatic encephalopathy
brain
liver failure
death
Maddrey's Discriminant Function
MELD score
glucocorticoids
enzyme
liver function tests
Hepatic encephalopathy

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