Figure 2.

Algorithm for management of patients with severe alcoholic hepatitis. †There is no consensus in patients with 0.45 < Lille < 0.56 to continue or stop prednisolone. In patients with no sign of infection, we propose to consider a further challenge by steroids for 7 additional days, but this is not evidence-based and this is only an expert opinion. ‡Liver biopsy can also have a prognostic value (Altamirano et al. Gastroenterology 2014). ∗Team evaluation: surgeon, anesthesist, nurse, resident, senior hepatologist, specialist in addiction.