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Liver Cirrhosis

What is Liver Cirrhosis

Liver cirrhosis is irreversible scarring caused by chronic liver damage (hepatitis, alcohol, NAFLD). It progresses in two stages:

  • Compensated Cirrhosis: Asymptomatic; managed with lifestyle changes and monitoring.
  • Decompensated Cirrhosis: Life-threatening complications like ascites, variceal bleeding, or hepatic encephalopathy.

At Liver Surgeons, Delhi’s premier cirrhosis center, we focus on slowing progression, managing complications, and improving quality of life.

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Liver Cirrhosis

Life-saving dual organ transplantation with 80% 5-year survival rates

Cirrhosis Complications & Management

1. Ascites (Fluid Retention)

  • Treatment:
    • Diuretics: Spironolactone + furosemide.
    • Albumin Infusion: Restores blood volume and reduces fluid buildup.
    • Paracentesis: Fluid drainage for severe cases.

2. Variceal Bleeding

  • Prevention: Non-selective beta-blockers (propranolol).
  • Emergency Care: Endoscopic band ligation or sclerotherapy.

3. Hepatic Encephalopathy

  • Treatment: Lactulose (reduces ammonia) + rifaximin.
  • Monitoring: Regular neuro assessments and blood tests.

4. Portal Hypertension

TIPS Procedure: Minimally invasive shunt to reduce vein pressure (success rate: 80%).

Cirrhosis Reversal Strategies

  • Early-Stage Reversal:
    • Alcohol Cessation: Stops further damage.
    • Antivirals: Cure hepatitis B/C to halt fibrosis.
    • Weight Loss: For NAFLD-related cirrhosis.
  • Advanced Care:

Liver Transplant: For MELD scores ≥15 or recurrent complications.

Managing Sarcopenia (Muscle Loss)

  • High-Protein Diet: 1.2–1.5g/kg/day with plant/lean animal proteins.
  • Resistance Training: Prevents muscle wasting.

Supplements: BCAA (branched-chain amino acids) to combat fatigue.

Why Choose Liver Surgeon in Delhi/India?

  • Dr. Ashish George: Renowned cirrhosis specialist with 15+ years of expertise in TIPS procedures, hepatic encephalopathy treatment, and transplant evaluations. Pioneered 100+ successful reversals of early-stage cirrhosis.
  • Advanced Protocols:
    • Albumin Optimization: Customized infusions to stabilize decompensated patients.
    • Pre-Transplant Prep: Nutritional and psychological support for better outcomes.
  • NABH-Certified Facility: Delhi’s only center with dedicated cirrhosis ICUs and 24/7 endoscopy.
  • Proven Outcomes:
    • 75% reduction in variceal bleeding recurrence.
    • 50% lower mortality in decompensated cirrhosis under our care.

Success Stats:

  • 90% success rate in controlling hepatic encephalopathy.
  • 60+ liver transplants are performed annually for cirrhosis patients.

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Cirrhosis FAQs

Early-stage compensated cirrhosis can be stabilized; advanced cases need transplants.

Monthly for decompensated patients to guide albumin infusion schedules.

Low sodium, high protein, and small, frequent meals. Avoid raw seafood and alcohol.

Yes! Protein-rich diets and resistance training can rebuild muscle mass.

The TIPS procedure reduces portal vein pressure in 80–90% of cases, preventing variceal bleeding and ascites. While not a cure, it buys time for transplant evaluation. Dr. Ashish George’s Delhi team uses advanced imaging to ensure precise shunt placement.

Yes. Without proper liver cirrhosis management, conditions like infections, alcohol relapse, or medication non-compliance can trigger decompensation. Regular FibroScan® checks at our India clinics help detect risks early.

Diagnosis involves blood ammonia tests and neuro exams. Treatment includes lactulose (to flush toxins) and rifaximin (to reduce gut bacteria). Our Delhi clinic also uses EEG monitoring for severe cases.

Partially. High-protein diets, resistance training, and BCAA supplements help rebuild muscle. Dr. Ashish George’s team in Delhi designs personalized plans to combat sarcopenia in cirrhosis and improve strength.