13.02.2018 | Management of Cirrhotic Patient (A Cardenas and P Tandon, Section Editors) | Ausgabe 1/2018 Open Access
Assessment and Management of Sleep Disturbance in Cirrhosis
- Zeitschrift:
- Current Hepatology Reports > Ausgabe 1/2018
Wichtige Hinweise
The original version of this article was revised due to a retrospective Open Access order.
This article is part of the Topical Collection on Management of Cirrhotic Patient
A correction to this article is available online at https://doi.org/10.1007/s11901-018-0402-1.
Abstract
Purpose of Review
This review presents an in-depth overview of the sleep–wake phenotype of patients with cirrhosis, together with available pharmacological and non-pharmacological treatment strategies. A set of simple, practical recommendations is also provided.
Recent Findings
The understanding of the pathophysiology of sleep disorders in this patient population has improved over the past decade, especially in relation to the interplay between homeostatic and circadian sleep regulation. In addition, new tools have been utilised for both screening and in-depth investigation of the sleep–wake profile of these patients. Finally, a number of studies have evaluated the efficacy of novel treatment strategies, often with encouraging results.
Summary
Since sleep disturbances are common in patients with cirrhosis, more so than in patients with other chronic diseases of similar severity, their assessment should become routine hepatological practice, along with the initiation of adequate treatment.
