Primary care of patients with cirrhosis - Current and future challenges

Cirrhosis is currently the 12th leading cause of death in the United States and also accounts for considerable morbidity. However many cirrhotic patients can remain well compensated for a protracted period of time allowing interventions to prevent or treat complications. Examples include screening for varices and prophylaxis against hemorrhage as well as screening for hepatocellular carcinoma to identify tumors which are potentially curable. Optimal management of these patients should be focused on screening and prevention of these complications. Incorporating screening for varices and hepatocellular carcinoma, as well as providing vaccinations and counseling regarding proper nutrition are vital to improve patient outcomes.