Table 1. The management strategies of liver cirrhosis²² .

Consider for all patients with liver cirrhosis

1. Treatment of the underlying cause if possible 2. Screening for esophageal varices 3. Screening for hepatocellular carcinoma 4. Over the counter drugs and NSAIDs use cautions 5. Avoiding alcohol, smoking, and drug abuse 6. Possible antifibrotic agents 7. Nutritional and dietary advice 8. Avoidance of metabolic syndrome and obesity 9. Early detection and prevention of bacterial infections 10. Prevention of portal vein thrombosis 11. Prevention of hepatic decompensation 12. Management of comorbid conditions 13. Immunization against HAV, HBV, influenza, pneumonia, tetanus, diphtheria, zoster, meningococci and human papillomavirus if needed

Consider in decompensated cirrhosis and specific complications

1. Treatment of underlying cause if possible 2. Treatment and prevention of variceal bleeding 3. Treatment and prevention of ascites 4. Treatment and prevention of spontaneous bacterial peritonitis 5. Treatment and prevention of hyponatremia 6. Treatment and prevention of refractory ascites 7. Treatment and prevention of hepatorenal syndrome 8. Treatment and prevention of hepatic encephalopathy 9. Management of other complications 10. Evaluation for liver transplantation

NSAIDs; Non-Steroidal Anti-Inflammatory Drugs, HAV; Hepatitis A Virus, HBV; Hepatitis B Virus