There are medical procedures that can aid in the recovery from alcoholic hepatitis. For example, someone with severe alcoholic hepatitis might be given an artificial liver, or a liver transplant to help with liver failure. “Patients with alcoholic hepatitis of mild to moderate severity can be treated in a primary care setting. In general, for patients with severe alcoholic hepatitis or cirrhosis, observation by a gastroenterologist or a hepatologist is desirable, particularly if the illness is of sufficient severity or complexity to require intensive care” ( Medscape ).
Several models have been proposed to determine the severity of a patient's alcoholic hepatitis [ 8,9 ]. The Maddrey discriminant function and the Model for End-stage Liver Disease (MELD) score are the most commonly used to help identify patients who are more likely to benefit from pharmacologic therapy. Other validated scores include the Glasgow alcoholic hepatitis score, the ABIC score (which includes age, serum bilirubin, international normalized ratio, and serum creatinine), and the Lille score (which is used to determine if a patient is responding to treatment) [ 8,10,11 ]. (See 'Glucocorticoids' below.)