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Albumin therapy for hepatic encephalopathy: current evidence and controversies

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Abstract

Hepatic encephalopathy (HE) is a common complication that occurs in 16–21% of end-stage cirrhosis patients. Emerging evidence suggests that systemic inflammation and oxidative stress may play a role in the development of HE. Recent understanding on the anti-inflammatory properties of human albumin has led to growing interest of using human albumin for the treatment and prevention of HE among decompensated patients. In this review, we aim to discuss the current evidence and controversies of using human albumin for the treatment and prevention of HE in advanced cirrhosis patients.

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Funding

Dr Wong YJ is supported by the Nurturing Clinician Scientist Scheme (NCCS) award by SingHealth Duke-NUS Academic Medical Centre and National Medical Research Council Singapore.

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WYJ contributed to the study conception and design. Both authors contributed equally to the drafting and writing of the manuscript. Both authors reviewed and approved the final manuscript.

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Correspondence to Yu Jun Wong.

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Both authors have no financial interests to be declared.

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Wong, Y., Loo, J.H. Albumin therapy for hepatic encephalopathy: current evidence and controversies. Metab Brain Dis 38, 1759–1763 (2023). https://doi.org/10.1007/s11011-022-01002-8

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  • DOI: https://doi.org/10.1007/s11011-022-01002-8

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