Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 29 June 2016

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Relative adrenal insufficiency is a prognostic factor in chronic liver disease

A study published ahead of print in the Alimentary Pharmacology & Therapeutics evaluates the prevalence of relative adrenal insufficiency in chronic liver disease, and its effects on long-term mortality.

News image

The relationship between relative adrenal insufficiency and chronic liver disease is unclear.

Dr Sohn and colleagues from Korea determined the frequency with which relative adrenal insufficiency is observed in noncritically ill patients at various stages of chronic liver.

The team also assessed the correlation between relative adrenal insufficiency and disease severity and long-term mortality.

In total, 71 non-critically ill patients with liver cirrhosis and chronic hepatitis were evaluated prospectively.

A short stimulation test (SST) with 250 µg of corticotrophin was performed to detect relative adrenal insufficiency.

Relative adrenal insufficiency was observed in 24% of patients with cirrhosis
Alimentary Pharmacology & Therapeutics

Relative adrenal insufficiency was defined as an increase in serum cortisol of <9 µg/dL in patients with a basal total cortisol of <35 µg/dL.

The team observed relative adrenal insufficiency in only 24% of patients with cirrhosis.

Compared to those without relative adrenal insufficiency, the researchers found that cirrhotic patients with relative adrenal insufficiency had significantly higher Child-Turcotte-Pugh score and Model for End-Stage Liver Disease score.

The research team found that cortisol response to corticotropin was negatively correlated with the severity of cirrhosis.

In addition, the mortality rate was higher in cirrhotic patients with relative adrenal insufficiency than in those without relative adrenal insufficiency.

The team noted that the cumulative 1-year survival rates in cirrhotic patients with and without relative adrenal insufficiency were 69% and 95%, respectively, while the corresponding cumulative 3-year survival rates were 0% and 95%.

Dr Sohn's team concludes, "Relative adrenal insufficiency is more commonly observed in those with severe cirrhosis, and is clearly associated with more advanced liver disease, and a shortened long-term survival."

"This suggests that relative adrenal insufficiency is an independent prognostic factor in non-critically ill patients with cirrhosis."

Aliment Pharmacol Ther 2014: DOI: 10.1111/apt.12891
04 August 2014

Go to top of page Email this page Email this page to a colleague

 29 June 2016 
Progression to esophageal carcinoma in Barrett's
 29 June 2016 
Hep C eradication in people who inject drugs
 29 June 2016 
Anti-tumor necrosis factor in mothers and newborns
 28 June 2016 
Gastric cancer screening in the USA
 28 June 2016 
Acute severe ulcerative colitis
 28 June 2016 
Cancer recurrence after immune-suppressive therapies
 27 June 2016 
Epidemiology of NAFLD
 27 June 2016 
Tobacco smoking and ulcerative colitis
 27 June 2016 
The Toronto Consensus for H. pylori treatment
 24 June 2016 
Dietary trends in the USA
 24 June 2016 
Statins and colorectal cancer in IBD
 24 June 2016 
Fibre for chronic idiopathic constipation
 23 June 2016 
Biomarker for eosinophilic esophagitis diagnosis
 23 June 2016 
Touch screens in the IBD outpatient clinic
 23 June 2016 
Adverse events after colonoscopy bowel preparations
 22 June 2016 
Benefits and harms of colorectal cancer screening
 22 June 2016 
IBS symptoms in IBD
 22 June 2016 
Outcomes among US veterans with Hep B
 21 June 2016 
Screening for colorectal cancer
 21 June 2016 
Tenofovir and Hep B transmission in mothers
 21 June 2016 
Access to liver subspecialty care and survival
 20 June 2016 
Genes for colorectal cancer risk
 20 June 2016 
Patients and gastroenterologists’ perceptions on IBD
 20 June 2016 
Hep C treatment in people who inject drugs
 17 June 2016 
Noninvasive markers of liver fibrosis
 17 June 2016 
Predictors of starting with long-term PPIs
 17 June 2016 
Extrahepatic manifestations of Hep C
 16 June 2016 
Assessing progression of NAFLD
 16 June 2016 
Endotracheal intubation and endoscopy unit efficiency metrics
 16 June 2016 
Bile acid diarrhea
 15 June 2016 
Consensus for acute severe ulcerative colitis
 15 June 2016 
Dental erosions in GERD
 15 June 2016 
Pharmacological treatments for obesity with weight loss
 14 June 2016 
Antibiotics and gut inflammation
 14 June 2016 
Liver-related mortality in the developed world
 14 June 2016 
Hep C patient outcomes treated with different anti-viral regimens
 13 June 2016 
Obesity in the USA
 13 June 2016 
Celiac disease drug development
 13 June 2016 
Pneumonia risk in celiac disease
 10 June 2016 

Celiac disease drug development

 10 June 2016 
Rectal cancer surgery checklist
 10 June 2016 
Breath as a marker for IBS
 09 June 2016 
Psychological morbidity in young people with IBD
 09 June 2016 
Evaluation of endoscopic findings from patients with Crohn's
 09 June 2016 
Predicting hepatic encephalopathy in cirrhosis
 08 June 2016 
Adult obesity trends in the USA
 08 June 2016 
Pediatric IBD unclassified vs other IBD
 08 June 2016 
Dark chocolate and NASH oxidation
 07 June 2016 
Flexible endoscopy for Zenker's diverticulum
 07 June 2016 
Predicting risk of hepatic encephalopathy in cirrhosis
 07 June 2016 
Electronic learning system for colon capsule endoscopy
 06 June 2016 
Oral contraceptives and Crohn’s complications
 06 June 2016 
Disturbed sleep and symptoms in IBS
 06 June 2016 
Eosinophilic esophagitis
 03 June 2016 
Antibiotic prophylaxis in cirrhosis
 03 June 2016 
Mortality in hospitalized peptic ulcer patients
 03 June 2016 
Decision aid for surgical patients with ulcerative colitis
 02 June 2016 
Allergy tests for eosinophilic esophagitis
 02 June 2016 
Fatty liver disease and mortality
 02 June 2016 
Ethnic inequalities in rectal cancer care

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2016 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us