Iatrogenic liver diseases: a new concept, with practices to be condemned

Abstract

After years and years of practicing hepatology, one can had a panoramic view analysing objectively the performance of hepatologists and the most common misjudges which might lead to a more catastrophic insults to an already diseased liver. Iatrogenic liver insults in patients with liver diseases (either acute or chronic) extends extremely beyond what is known as drug induced liver injury. Lack of nutritional instructions according to the disease category, the incorrectly recommended hypomobility, and lack of screening of hepatocellular carcinoma, oesophageal varices, sarcopenia, and minimal hepatic encephalopathy, diabetes mellitus, added to fibrosis progression and cirrhosis decompensation, are all considered as an aggressive forms of iatrogenic liver diseases (ILD). Additionally, negligence of the bad impacts of obesity on provoking liver cirrhosis morbidities and mortality. The continuous improper use of proton pump inhibitors also represented a major challenge in those patients with a wide diversity of complications. These frequent forms of hepatologists’ malpractice had to be denounced and corrected. “Iatrogenic liver diseases” is a new terminology had to be indorsed deeply in most hepatologists’ ethos on dealing with chronic liver disease patients to alleviate the burden of unintentionally aggravated liver disorders.