HE Resource Centre for Healthcare Professionals

A close up shot of a green stethoscope on top of a doctor's notes

HE Resource Centre for Healthcare Professionals

Clinical Practice Guidelines

Hepatic Encephalopathy in Chronic Liver Disease:
2014 Practice Guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver
Journal of Hepatology, Vol. 60, Issue 2, Pages 715-735, August 2014

Diagnostic Tools & Calculators

Clinical Hepatic Encephalopathy Staging Scale (CHESS)
By Dr. Christopher Rose (CRCHUM, University of Montreal) and Dr. Philip Wong (McGill University Health Centre), June 2016
Introductory letter available here.

Hepatic Encephalopathy Symptom Tracker and Monitoring Tool (for Patients & Caregivers)
By Dr. Christopher Rose (CRCHUM, University of Montreal) and Dr. Philip Wong (McGill University Health Centre), June 2016

Psychometric Hepatic Encephalopathy Score (PHES)
Minimal hepatic encephalopathy has significant impact on a liver patient’s daily living and health related quality of life and a majority of clinicians agree that it should be diagnosed and treated. The Psychometric Hepatic Encephalopathy Score (PHES) is the sum score achieved from the five sub-tests of the PSE (Portosystemic Encephalopathy)-Syndrome-Test. These paper-pencil tests assess attention, visuospatial perception, visuospatial construction, psychomotor speed and motor accuracy. The PHES has been standardized in many countries; however please note that the appropriate controls for PHES have not yet been standardized in Canada. Healthcare professionals interested in learning more about the PHES (© Hannover Medical School) can contact Dr. Karin Weissenborn to discuss which materials are needed, how to use the test and how to access the test.

 

Educational Videos, Reports & Slides

Hepatic Encephalopathy: Explore the Neuropsychiatric Consequences of Cirrhosis
Prepared by: Dr. Christopher Rose, Dr. Hermant Shah, Dr. Puneeta Tandon and Dr. Philip Wong (June 2017)

A title that says Module 1 Introduction to cirrhosis and its complications

Click on the above image and save the Powerpoint Show to view the slides.

Module 1:
Chronic Liver Disease & Cirrhosis: An Introduction
Hepatic Encephalopathy: Overview
Hepatic Encephalopathy: Pathophysiology
Hepatic Encephalopathy: Clinical Classification
Covert Hepatic Encephalopathy: West Haven/Conn Score (0-1)
Covert Hepatic Encephalopathy: Testing

A title that says Module 2 Overt HE
Click on the above image and save the Powerpoint Show to view the slides.

Module 2:
Overt HE
Nonabsorbable Disaccharides: Lactulose
Dietary Modification: BCAA’s(Branched-Chain Amino Acids) Nutrition in cirrhosis

For a video version of the slides with voice-over narration, please click here.


Canadian Association for the Study of the Liver Hepatocellular Carcinoma Meeting: Consensus, Controversies and Future Directions

The slides and videos are now available online. Click here.

Resources

Nutrition GuideThe Nutrition in Cirrhosis Guide

This Guide covers general topics relevant to all patients with cirrhosis. Specific nutrition issues are also addressed that may be helpful at other times. The Guide is a tool for use throughout your cirrhosis journey. It also includes recipes that are suitable for all individuals and can be modified to accommodate food allergies, dietary restrictions, and preferences.

Click here to download a copy. To order a hard copy version, send your request to Publications Order.

Liver Meetings & Conferences

calendar

2019 International Liver Meetings & Conferences

Featured Upcoming Meeting:HBV Cure 2019

This one-day workshop brings together global inter-disciplinary experts to enhance the field of hepatitis B research and to provide an interactive platform to achieve the goal of global hepatitis B cure. The meeting includes invited lectures, oral abstract presentations, poster viewing sessions, Q&A sessions, round table discussions and debates. 

Date: November 6th, 2019
Location: Toronto, Canada
For more information about this event, visit:
https://www.virology-education.com/event/upcoming/hbv-cure-workshop-2019/ 

CASLSTC2019This symposium will cover a two-day period to provide clinicians and allied health professionals with significant insights into current and future practice to improve diagnosis, management and treatment of autoimmune liver diseases.

Date: November 22 – 24, 2019
Location: Brookstreet Hotel, Ottawa, Canada
For more information about this event, visit: casl-stc-2019.ca

CASL and the CLF acknowledge the following organizations for their support of our collective mission to improve the liver health of all Canadians through research, education, patient support and advocacy:

PLATINUM SPONSORS:

Intercept Pharma

Gilead Sciences Canada

SILVER SPONSORS:

BRONZE SPONSORS:

abbvie

EXHIBIT SPONSORS:

The International Viral Hepatitis Elimination Meeting (IVHEM) is a global forum for the exchange of practical experiences for translating diagnostic and therapy advances of viral hepatitis into broad applications that accelerate progress toward elimination of viral hepatitis as a public health threat by 2030.
Date: 22 November 2019 – 23 November 2019
Location: Mercure Hotel Amsterdam City, Joan Muyskenweg 10, 1096 CJ, Amsterdam, the Netherlands
For more information about this event click visit:
www.virology-education.com/event/upcoming/international-viral-hepatitis-elimination-meeting-ivhem/

If you would like the CLF to add or revise your meeting or conference information, please contact Karen Seto by email or phone at 1 (800) 563-5483 (Extension 4939).

Note: The information links on this page have been chosen based on their content, source and potential usefulness for our site visitors and are provided here as a public service with regard to liver-related issues. However, the Canadian Liver Foundation assumes no responsibility for any information on these sites and the inclusion of a link on this page does not constitute an endorsement of any sponsoring organization or individual by the Canadian Liver Foundation.

We want to hear from the medical community. Input from you helps us to identify professional education programs and resources which meet the needs of your patients and your community. If you would like information or education in a particular area (i.e.: paediatric, liver health/prevention, etc.) or type of liver disease (i.e.: fatty liver disease, hepatitis, liver cancer, etc.), please contact Karen Seto by email or phone at 1 (800) 563-5483 (Extension 4939). 

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