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

Contributors

Preface

Chapter 1 Epidemiology of alcohol use
Ian Gilmore and William Gilmore

Chapter 2 Epidemiology of alcohol related liver disease
Ed Britton and Martin Lombard

Chapter 3 Alcoholism: Diagnosis and natural history in the context of medical disease
Thomas P. Beresford, Narin Wongngamnit and Benjamin A. Temple

Chapter 4 Alcohol and other substance misuse
John B Saunders

Chapter 5 Risk factors for alcohol related liver disease
Stuart Kendrick and Chris Day

Chapter 6 Mechanisms of alcohol toxicity
Guruprasad P. Aithal and Jane I. Grove

Chapter 7 Extra-hepatic manifestations of alcohol excess
Karl-Heinz Schulz, Sandra van Eckert, and Jens Reimer

Chapter 8 Patterns of alcohol associated liver damage
Peter Hayes and Michael Williams

Chapter 9 Co-factors and alcohol-related liver disease
John G. O'Grady

Chapter 10 Impact of alcohol and liver disease on prescribing
Richard Parker and Amanda Smith

Chapter 11 Psychiatric examination of liver transplant with alcohol use disorders
Robert Weinrieb and Omair Abbasi

Chapter 12 Abnormal liver tests in the context of alcohol excess
James Ferguson

Chapter 13 Biochemical determination of alcohol consumption
Friedrich Martin Wurst, Natasha Thon, Wolfgang Weinmann, Michel Yegles, Jessica Wong, Ulrich W. Preuss

Chapter 14 The role of histology
Desley AH Neil

Chapter 15 General assessment and management
Patrizia Burra and Giacomo Germani

Chapter 16 Brief alcohol interventions
Stephanie Scott and Eileen Kaner

Chapter 17 Alcohol withdrawal syndrome: Diagnosis and treatment
Julie Taub and Thomas Beresford

Chapter 18 Psychosocial treatments of alcohol use disorders: Liver transplant patients as an exemplar
Terry D. Schneekloth

Chapter 19 Pharmacological interventions
Renata Yang and Marian Fireman

Chapter 20 Treatment of extra-hepatic manifestations of alcohol abuse
Joaquim Fernández-Solà

Chapter 21 Treatment of liver disease
James Neuberger

Chapter 22 Treatment of alcoholic hepatitis
Mark Thursz and Stephen Atkinson

Chapter 23 Alcohol abuse and liver disease role of liver transplantation
Santiago Tome and Michael R. Lucey

Chapter 24 Future directions: The need for early identification and intervention for patients with excessive alcohol use
Andrea DiMartini, Shari Rogal and Stephen Potts

Index