Hospitalists often care for patients with liver disease, including those with acute liver injury and failure and patients with complications of decompensated cirrhosis. Acute liver failure is a true emergency, requiring intensive care and oftentimes transfer of the patient to a liver transplant center. Patients with decompensated cirrhosis have complications of portal hypertension, including variceal hemorrhage, ascites, spontaneous bacterial peritonitis, and hepatic encephalopathy. These complications increase the risk of mortality among patients with decompensated cirrhosis. Comanagement by the hospitalist with gastroenterology/hepatology can optimize care, especially for patients being considered for liver transplant evaluation.

Original languageEnglish
Pages (from-to)647-662
Number of pages16
JournalMedical Clinics of North America
Issue number4
StatePublished - Jul 2020


  • Acute liver failure
  • Acute liver injury
  • Ascites
  • Decompensated cirrhosis
  • Hepatic encephalopathy
  • Hepatorenal syndrome
  • Variceal hemorrhage


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