Treatment of alcoholic liver disease

INTRODUCTION — There are at present few specific therapies available for patients with alcoholic liver disease. There is, however, one extremely important intervention — abstinence — since continued alcohol ingestion is the single most important risk factor for progression in patients with alcoholic liver disease. Abstinence is also critical for those patients with advanced disease who may eventually require liver transplantation; in this setting, continued drinking will remove the patient from consideration. Referral to a rehabilitation program is usually necessary in combination with family support and counseling.