Profile of Hepatic Encephalopathy in Children with Cirrhosis and Response to Lactulose
2011

Lactulose Treatment for Hepatic Encephalopathy in Children with Cirrhosis

Sample size: 22 publication Evidence: moderate

Author Information

Author(s): Praveen Sharma, Barjesh C. Sharma

Primary Institution: G. B. Pant Hospital, New Delhi, India

Hypothesis

Lactulose therapy will improve hepatic encephalopathy in children with cirrhosis.

Conclusion

Lactulose therapy causes complete recovery from hepatic encephalopathy in 73% of pediatric patients with cirrhosis.

Supporting Evidence

  • 73% of children treated with lactulose had complete recovery from hepatic encephalopathy.
  • Significant differences in mean arterial pressure, serum sodium, and serum creatinine were observed between responders and non-responders.

Takeaway

This study found that giving lactulose to kids with liver problems helped most of them feel better from their brain issues caused by the liver.

Methodology

Retrospective analysis of cirrhotic patients under 18 years with hepatic encephalopathy treated with lactulose.

Limitations

The study did not analyze arterial ammonia or gut flora changes.

Participant Demographics

The study included 22 children with cirrhosis, aged approximately 13.5 years, with a sex ratio of 8 males to 14 females.

Statistical Information

P-Value

P=0.003 for mean arterial pressure difference

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.4103/1319-3767.77246

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