ALCOHOL ABUSE AND LIVER DISEASE

For people with alcohol excess and liver disease, successful management must be two-fold with management of both their psychological/physical addiction to alcohol and their liver disease. Alcohol Abuse and liver disease, with its joint focus on hepatology and psychiatry, provides both hepatologists and psychiatrists of all levels with a practical, concise and didactic guide to the investigation and clinical management of those with alcohol-related problems.
Edited by a practicing hepatologist in the UK and a practising specialist in psychiatry/substance abuse in the US, it covers areas such as:

- Risk factors for alcoholic liver disease
- Interaction of alcohol with other co-morbidities
- Clinical assessment of alcohol intake
- Detoxification and management of withdrawal
- Psychotherapeutic and pharmaceutical interventions
- Treatment of liver disease

Key points, management diagrams and high-quality images are all be supported by the very latest in clinical guidelines from the major hepatology and psychiatry societies such as the APA, EPA, AASLD and EASL.
With increasing emphasis on multi-disciplinary speciality care in this area, this is the ideal tool to consult in order to provide the best care possible care for what are very challenging patients to manage.


Table of Contents
1 Epidemiology of alcohol use 1
2 Epidemiology of alcohol ]related liver disease 11
3 Alcoholism: diagnosis and natural history in the context of medical disease 23
4 Alcohol and other substance misuse 35
5 Risk factors for alcohol ]related liver disease 47
6 Mechanisms of alcohol toxicity 55
7 Extrahepatic manifestations of alcohol excess 65
8 Patterns of alcohol ]associated liver damage 79
9 Cofactors and alcohol ]related liver disease 87
10 Impact of alcohol and liver disease on prescribing 91
11 Psychiatric examination of liver transplant patients with alcohol use disorders 99
12 Abnormal liver tests in the context of alcohol excess 109
13 Biochemical determination of alcohol consumption 113
14 The role of histology 123
15 General assessment and management 135
16 Brief alcohol interventions 147
17 Alcohol withdrawal syndrome: diagnosis and treatment 155
18 Psychosocial treatments of alcohol use disorders 165
19 Pharmacologic interventions 175
20 Treatment of extrahepatic manifestations of alcohol abuse 187
21 Treatment of liver disease 197
22 Treatment of alcoholic hepatitis 203
23 Liver transplantation in people with alcohol ]related liver disease 215
24 Future directions: the need for early identification and intervention for patients with excessive alcohol use 223
Index 235