Fatigue in Liver Disease: Pathophysiology and Clinical Management

Fatigue is the most commonly encountered symptom in patients with liver disease, and it has a significant impact on their quality of life. However, although some progress has been made with regard to the understanding of the processes which may generate fatigue in general, the underlying cause(s) of...

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Main Author: Mark G Swain
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2006/624832
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author Mark G Swain
author_facet Mark G Swain
author_sort Mark G Swain
collection DOAJ
description Fatigue is the most commonly encountered symptom in patients with liver disease, and it has a significant impact on their quality of life. However, although some progress has been made with regard to the understanding of the processes which may generate fatigue in general, the underlying cause(s) of liver disease-associated fatigue remain incompletely understood. The present review describes recent advances which have been made in our ability to measure fatigue in patients with liver disease in the clinical setting, as well as in our understanding of potential pathways which are likely important in the pathogenesis of fatigue associated with liver disease. Specifically, experimental findings suggest that fatigue associated with liver disease likely occurs as a result of changes in neurotransmission within the brain. In conclusion, a reasonable approach to help guide in the management of the fatigued patient with liver disease is presented.
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institution Kabale University
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spelling doaj-art-6791119cd6a44f5698403988224fd9fe2025-02-03T06:01:12ZengWileyCanadian Journal of Gastroenterology0835-79002006-01-0120318118810.1155/2006/624832Fatigue in Liver Disease: Pathophysiology and Clinical ManagementMark G Swain0University of Calgary, Liver Unit, Health Sciences Centre, Calgary, Alberta, CanadaFatigue is the most commonly encountered symptom in patients with liver disease, and it has a significant impact on their quality of life. However, although some progress has been made with regard to the understanding of the processes which may generate fatigue in general, the underlying cause(s) of liver disease-associated fatigue remain incompletely understood. The present review describes recent advances which have been made in our ability to measure fatigue in patients with liver disease in the clinical setting, as well as in our understanding of potential pathways which are likely important in the pathogenesis of fatigue associated with liver disease. Specifically, experimental findings suggest that fatigue associated with liver disease likely occurs as a result of changes in neurotransmission within the brain. In conclusion, a reasonable approach to help guide in the management of the fatigued patient with liver disease is presented.http://dx.doi.org/10.1155/2006/624832
spellingShingle Mark G Swain
Fatigue in Liver Disease: Pathophysiology and Clinical Management
Canadian Journal of Gastroenterology
title Fatigue in Liver Disease: Pathophysiology and Clinical Management
title_full Fatigue in Liver Disease: Pathophysiology and Clinical Management
title_fullStr Fatigue in Liver Disease: Pathophysiology and Clinical Management
title_full_unstemmed Fatigue in Liver Disease: Pathophysiology and Clinical Management
title_short Fatigue in Liver Disease: Pathophysiology and Clinical Management
title_sort fatigue in liver disease pathophysiology and clinical management
url http://dx.doi.org/10.1155/2006/624832
work_keys_str_mv AT markgswain fatigueinliverdiseasepathophysiologyandclinicalmanagement