Revisión narrativa sobre las características clínicas y paraclínicas de la cirrosis hepática alcohólica

Abstract

Abstract: A narrative review of the last 5 years was carried out to describe the updates and advances that have been developed for the diagnosis of liver cirrhosis due to excessive and prolonged alcohol consumption. Through the application of the search equations in the databases of: PubMed, Scielo and the regional portal of the VHL. Considering the inclusion and exclusion criteria, a total of 16 articles with grades of recommendation between A and C were selected. With the results obtained, it was possible to conclude that, with respect to a clinic, there has been no significant variation at the time to carry out the diagnostic orientation, the characteristic symptoms being jaundice, a confusional state and ascites; laboratory data depend on the values of bilirubin, AST/ALT, although microRNA and hyaluronic acid are proposed as adequate biomarkers, the invasive test is biopsy as the gold standard and finally, imaging methods assess the CT and MRI, however, elastography is currently a relevant test to guide a correct diagnosis.