This book will be an affordable, highly practical handbook on hepatology, aimed at residents/trainees in gastroenterology, GI nurses, and recently qualified consultants to use as a quick reference when managing patients presenting with possible or overt liver disease. It will be of particular use for those GI internists/residents who have an interest specifically in hepatology. It does not aim to be a specialist textbook, but a shorter, 250pp guide that provides key clinical information on each area of hepatology in an accessible form. Extracting relevant material from large reference textbooks can be very time consuming and for this reason, information in this handbook will be presented succinctly in a style suitable for quick reference and easy understanding. The chief emphasis will be on the clinical assessment and management of these patients, and all the major areas of liver disease will be covered, from liver cirrhosis to viral hepatitis, to autoimmune liver failure. Chapters will use a variety of structural features and colour coded boxes to increase the accessibility for residents. These include: key points/take-home points, case history, practice points and management algorithm/flow-charts. Each chapter will also contain sample multiple choice questions that the reader will be able to test themselves on.

This book will be an affordable, highly practical handbook on hepatology, aimed at residents/trainees in gastroenterology, GI nurses, and recently qualified consultants to use as a quick reference when managing patients presenting with possible or overt liver disease.It will be of particular use for those GI internists/residents who have an interest specifically in hepatology. It does not aim to be a specialist textbook, but a shorter, 250pp guide that provides key clinical information on each area of hepatology in an accessible form. Extracting relevant material from large reference textbooks can be very time consuming and for this reason, information in this handbook will be presented succinctly in a style suitable for quick reference and easy understanding.The chief emphasis will be on the clinical assessment and management of these patients, and all the major areas of liver disease will be covered, from liver cirrhosis to viral hepatitis, to autoimmune liver failure.Chapters will use a variety of structural features and colour coded boxes to increase the accessibility for residents. These include: key points/take-home points, case history, practice points and management algorithm/flow-charts. Each chapter will also contain sample multiple choice questions that the reader will be able to test themselves on.

Contributors ixForeword xiiPreface xivAcknowledgements xv1 Clinical Assessment of the Adult Patient with Possible Liver Disease: History and Physical Examination 1Eberhard L. Renner2 Initial Diagnosis, Workup, and Assessment of Severity of Liver Disease in Adults 13Scott K. Fung3 Pediatric Liver Disease: An Approach to Diagnosis and Assessment of Severity 31Binita M. Kamath and Vicky L. Ng4 Natural History of the Cirrhotic Patient 45Jordan J. Feld5 Management of Complications of Portal Hypertension in Adults and Children: Variceal Hemorrhage 63E. Jenny Heathcote Simon Ling and Binita M. Kamath6 Management of Ascites 80David K.H. Wong7 Masses in the Liver 93Morris Sherman8 Chronic Portosystemic Encephalopathy and Its Management 112Leslie B. Lilly and Binita M. Kamath9 Indications for Liver Transplantation in Adults and Children 119Nazia Selzner and Vicky L. Ng10 Management of Fulminant Hepatic Failure 132Leslie B. Lilly11 Management of the Complications of Liver Transplantation 142Eberhard L. Renner and Eve A. Roberts12 Acute Viral Hepatitis in Adults and Children: Hepatitis A, B, C, D, E, and Others 162Hemant A. Shah and Eve A. Roberts13 Chronic Viral Hepatitis in Adults and Children: Hepatitis B 185Jordan J. Feld14 Chronic Viral Hepatitis in Adults and Children: Hepatitis C 208Eberhard L. Renner and Eve A. Roberts15 Liver Disease Due to Alcohol 226Nazia Selzner16 Drug-Induced Liver Disease 235Leslie B. Lilly17 Obesity and Its Hepatic Complications in Adults and Children 244E. Jenny Heathcote and Eve A. Roberts18 HIV-Associated Liver Diseases 263David K.H. Wong19 Autoimmune Hepatitis in Adults and Children 281Gideon M. Hirschfield20 Chronic Cholestatic Liver Disease and Its Management in Adults and Children 297Gideon M. Hirschfield and Binita M. Kamath21 Vascular Diseases of the Liver 315Jordan J. Feld22 Approach to Metabolic and Storage Diseases 329Hemant A. Shah and Eve A. Roberts23 Wilson Disease: When Should You Think of Wilson Disease? 352Eve A. Roberts and Gideon M. Hirschfield24 Liver Disease in Pregnant Women 367E. Jenny Heathcote25 Cystic Disease of the Liver 383Morris Sherman26 An Internist's Approach to Radiologic Examination of the Liver 396Anthony E. Hanbidge and Korosh KhaliliIndex 413