Comprehensive management of all stages of liver cirrhosis — from early compensated disease through to decompensation, transplant evaluation, and aftercare.
Cirrhosis is the end result of long-term liver damage — healthy liver tissue is progressively replaced by scar tissue (fibrosis), disrupting the liver's architecture and function. It is irreversible once established, but its progression and complications can be effectively managed.
Fluid accumulation in the abdomen. Managed with diuretics, low-sodium diet, therapeutic paracentesis for refractory ascites, and TIPS consideration.
Bleeding from oesophageal or gastric varices — a life-threatening emergency. Managed with band ligation, sclerotherapy, beta-blockers, and TIPS when needed.
Confusion and cognitive decline due to ammonia accumulation. Treated with lactulose, rifaximin, and identification/correction of precipitating factors.
Bacterial infection of ascitic fluid — a serious complication requiring prompt IV antibiotics and long-term antibiotic prophylaxis.
Kidney failure secondary to advanced cirrhosis. Requires albumin infusions, vasoconstrictors, and urgent transplant evaluation.
Cirrhotic patients have up to 30-fold increased HCC risk. 6-monthly ultrasound + AFP surveillance to catch cancers at early, treatable stages.
Liver transplant is the only definitive treatment for end-stage cirrhosis. Dr. Srinivas evaluates transplant candidacy based on:
Early referral for transplant evaluation — even before decompensation — improves outcomes. Don't wait for a crisis.
