Hepatic Encephalopathy Resource Centre for Health Care Professionals

 Clinical Practice 
Guidelines

 Diagnostic Tools
& Calculators

Educational 
Reports & Slides
 
Meetings &
Conferences


Click here to access all liver-related information, tools and resources for Health Care Professionals.



CLINICAL PRACTICE GUIDELINES

Hepatic Encephalopathy in Chronic Liver Disease:
2014 Practice Guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver
Journal of Hepatology, Vol. 60, Issue 2, Pages 715-735, August 2014

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DIAGNOSTIC TOOLS & CALCULATORS


Clinical Hepatic Encephalopathy Staging Scale (CHESS)

By Dr. Christopher Rose (CRCHUM, University of Montreal) and Dr. Philip Wong (McGill University Health Centre), June 2016
Introductory letter available here.  For a CHESS version in English, click here.



Hepatic Encephalopathy Symptom Tracker and Monitoring Tool (for Patients & Caregivers)
By Dr. Christopher Rose (CRCHUM, University of Montreal) and Dr. Philip Wong (McGill University Health Centre), June 2016
For a version in English, click here.




Psychometric Hepatic Encephalopathy Score (PHES)
Minimal hepatic encephalopathy has significant impact on a liver patient’s daily living and health related quality of life and a majority of clinicians agree that it should be diagnosed and treated. The Psychometric Hepatic Encephalopathy Score (PHES) is the sum score achieved from the five sub-tests of the PSE (Portosystemic Encephalopathy)-Syndrome-Test. These paper-pencil tests assess attention, visuospatial perception, visuospatial construction, psychomotor speed and motor accuracy. The PHES has been standardized in many countries; however please note that the appropriate controls for PHES have not yet been standardized in Canada. Healthcare professionals interested in learning more about the PHES (© Hannover Medical School) can contact Dr. Karin Weissenborn at Weissenborn.Karin@mh-hannover.de to discuss which materials are needed, how to use the test and how to access the test.

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EDUCATIONAL VIDEOS, REPORTS & SLIDES


HEPATIC ENCEPHALOPATHY: EXPLORE THE NEUROPSYCHIATRIC CONSEQUENCES OF CIRRHOSIS
Prepare by: Dr. Christopher Rose, Dr. Hermant Shah, Dr. Puneeta Tandon and Dr. Philip Wong (June 2017)

(Click on the above image and save the Powerpoint Show to view the slides)

Module 1:
Chronic Liver Disease & Cirrhosis: An Introduction
Hepatic Encephalopathy: Overview
Hepatic Encephalopathy: Pathophysiology
Hepatic Encephalopathy: Clinical Classification
Covert Hepatic Encephalopathy: West Haven/Conn Score (0-1)
Covert Hepatic Encephalopathy: Testing


(Click on the above image and save the Powerpoint Show to view the slides)

Module 2:
Overt HE
Nonabsorbable Disaccharides: Lactulose
Dietary Modification: BCAA’s(Branched-Chain Amino Acids) Nutrition in cirrhosis

For a video version of the slides with voice-over narration, please click here.

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HEPATOCELLULAR CARCINOMA (LIVER CANCER):

CANADIAN ASSOCIATION FOR THE STUDY OF THE LIVER HEPATOCELLULAR CARCINOMA MEETING: CONSENSUS, CONTROVERSIES AND FUTURE DIRECTIONS
The slides and videos are now available online. Click here


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LIVER MEETINGS & CONFERENCES

2017 International Liver Meetings & Conferences - click here.

2018 International Liver Meetings & Conferences - click here.

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Note: The information links above have been chosen based on their content, source and potential usefulness for our site visitors and are provided here as a public service with regard to liver-related issues. However, the Canadian Liver Foundation assumes no responsibility for any information on these sites and the inclusion of a link on this page does not constitute an endorsement of any sponsoring organization or individual by the Canadian Liver Foundation.

We want to hear from the medical community. Input from you helps us to identify professional education programs and resources which meet the needs of your patients and your community. If you would like information or education in a particular area (i.e.: pediatric, liver health/prevention, etc.) or type of liver disease (i.e.: fatty liver disease, hepatitis, liver cancer, etc.), please contact Karen Seto at kseto@liver.ca or 1-800-563-5483 x 4939.

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