EC Gastroenterology and Digestive System

Research Article Volume 10 Issue 5 - 2023

The Correlation Between the Serum Zinc Level in Decompensated Liver Disease and the Stage of Hepatic Encephalopathy - A Cross Sectional Study Conducted in North Karnataka, India

Vinayakar Baddi1 and Umakant Boke2*

1Resident, Department of General Medicine, S.N. Medical College, Bagalkot, India

2Associate Professor, Department of General Medicine, S.N. Medical College, Bagalkot, India

*Corresponding Author: Umakant Boke, Associate Professor, Department of General Medicine, S.N. Medical College and HSK Hospital, Bagalkot, India.
Received: May 29, 2023; Published: June 15, 2023



Introduction: Hypozincemia appears to hasten the liver cirrhosis symptoms, which is why we conducted this study to determine a link between hypozincemia and hepatic encephalopathy. In light of this, the current investigation was carried out to evaluate the serum zinc levels in patients with decompensated chronic liver disease (DCLD) and varying degrees of hepatic encephalopathy (HE).

Materials and Methods: This cross-sectional study was conducted in 85 patients with Decompensated Chronic Liver Disease presents with Hepatic encephalopathy. Patients with hepatic encephalopathy were clinically categorised using the West Hevan classification (WHC). All patients were also given a Modified Child's classification ranking, and the Child-Pugh score was used to determine the severity of liver cirrhosis. Serum Zinc and albumin levels were assessed using standard methods.

Results: Alcohol misuse was the most frequent aetiology in our sample (84.4%), followed by viral. the middle-aged male population in our study was predominately affected. All patients with decompensated chronic liver disease who were admitted for our research had HE. Patients with higher grades of HE were more likely to have low serum zinc levels. Low blood albumin levels were more frequently linked to lower serum Zn levels in our study.

Conclusion: In conclusion, we discovered that it is important to test for hypozincemia in all patients with decompensated chronic liver disease, especially those who had hypoalbuminemia and hepatic encephalopathy (HE).

Keywords: Decompensated Liver Disease; Hepatic Encephalopathy; Serum Zinc; Serum Albumin

  1. Sherlock S., et al. Sherlock disease of the liver and Biliary system 12th Edition Black well science (2011): 121-146.
  2. Bruce R. Bacon Cirrhosis and Its complication Harrison`s principles of Internal Medicine 18th edition 2592-2605.
  3. Watanabe A. “Portal –systemic encephalopathy in non-cirrhotic patient classification of clinical type, diagnosis and treatment”. Journal of Gastroenterology and Hepatology 15 (2000): 969.
  4. Vijaylaxmi N., et al. “Study of trace elements in liver cirrhosis patients and their role in prognosis of disease”. Biological Trace Element Research1 (2015): 35-40.
  5. Arber N Konikoff FM., et al. “Increased serum iron and iron saturation without liver iron accumulation distinguish chronic hepatitis C from other chronic liver diseases”. Digestive Diseases and Sciences 39 (1994): 2656-2659.
  6. Loguercio C., et al. “Malnutrition in cirrhotic patients: anthropometric measurements as method for the assessment of nutritional status”. The British Journal of Clinical Pharmacology 44 (1997): 162-165.
  7. Mohammad K., et al. “Zinc and liver disease Craig”. J. Mcclain Nutr clin pract 27 (2012): 8.
  8. Meena RK., et al. “Serum Zinc Level in Decompensated Liver Disease and its Correlation with Stage of Hepatic Encephalopathy”. Journal of The Association of Physicians of India 67 (2019): 30-32.
  9. Vilstrup H., et al. Hepatic encephalopathy in chronic liver disease:2014 Practical guideline by American association for the liver disease and European Association for the study of the Liver (2014).
  10. Adrienne cheung and Andrew cheung MD The Child-Pugh score: Prognosis in chronic liver disease and cirrhosis (2013).
  11. Durand F and Valla D. “Assessment of the prognosis of cirrhosis: Child–Pugh versus MELD”. Journal of Hepatology 42 (2005): S100-S107.
  12. Giannaakis T Toris., et al. “Hepatic encephalopathy: An updated approach from pathogenesis to treatment”. Medical Science Monitor 17 (2011): 53-63.
  13. Baquri MMMA Kora SA. Global Journal for Research Analysis. Serum zinc level in decompensated liver disease and its correlation with stage of hepatic encephalopathy 11.3 (2022): 46-48.
  14. Al-Gindan YM. “Hepatic encephalopathy in Saudi Arabia. Retrospective analysis of 51 patients”. Indian Journal of Medical Sciences (1992): 46.
  15. Capocaccia L., et al. “Zinc and other trace elements in liver cirrhosis”. The Italian Journal of Gastroenterology 23 (1991): 386-391.
  16. Pereira MR. Oral Zinc supplementation as an adjunct therapy in the management of Hepatic encephalopathy: A Randomized controlled trial. 2nd YEAR RESEARCH ELECTIVE RESIDENT’S JOURNAL,Volume X, 2005-2006.
  17. Kar K Bhattacharya and G De J. Study of zinc in cirrhosis of liver Indian Medical Gazette- FEBRUARY (2013): 74-78.
  18. Mahar M., et al. “Hyponatrmia and Zinc deficiency as arisk factor for Hepatic encephalopathy in Cirrhotic Patient”. Life Science Journal (2013): 10.
  19. Soomro A., et al. “Serum zinc level in patients with liver cirrhosis”. Pakistan Journal of Medical Sciences 25 (2009): 986-991.
  20. Khalil Ali Khalil., et al. “Study of Zinc Level in Egyptian Cirrhotic Patients with Different Stages of Liver Cirrhosis”. International Journal of Medical Research Professionals6 (2018): 40-47.

Vinayakar Baddi and Umakant Boke. "The Correlation Between the Serum Zinc Level in Decompensated Liver Disease and the Stage of Hepatic Encephalopathy - A Cross Sectional Study Conducted in North Karnataka, India". EC Gastroenterology and Digestive System  10.5 (2023): 06-11.