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Lactulose is the first-line drug for hepatic encephalopathy (HE), but its acceptance widely differs between Western and Eastern studies.
"Winning" should modify "he," but there's no "he" to be found.
Patch testing would be needed to differentiate between subjects with irritant HE and those with allergic HE, but this was not feasible in our study.
Although in our study MMSE was altered in patients with stage 3 of overt HE, but this can be detect clinically and generally requires no additional method.
Not only SIBO must be discussed as an oligosymptomatic cause of HE, but other bacterial infections in cirrhotic patients might be important, as Helicobacter pylori infection.
Therefore several other more objective diagnostic tools (e.g. neuroimaging, neurophysiological methods or psychomotor tests), were implemented to diagnose both minimal and overt HE, but there is still an ongoing debate which of them should be a diagnostic standard [ 23- 25].
Minimal hepatic encephalopathy (MHE), the mildest form of the spectrum of HE, usually has no recognizable clinical symptoms of HE but has mild cognitive, motor control, and concentration attention deficits [ 17, 18].
Interfaces are good traps for implanted He, but are also susceptible to He-induced embrittlement.
Had he but known.
Similar(2)
The same result applies to Man-HE but with less sensitivity than Des-HE.
Therefore, we conclude that the occurrence of Ope-HE is induced not only by Des-HE but also by other events.
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