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Detailed chapter

Liver Disease — Cirrhosis

Chronic liver injury and complications

Cirrhosis is nodular fibrosis with falling liver function after long-standing injury—viral hepatitis, alcohol, NASH, autoimmune, and metabolic causes among them. Ascites, encephalopathy, jaundice, and portal hypertension (varices) may follow.

Cirrhosis · educational illustration

Educational schematic. Some structures may be simplified or emphasized for clarity; not an exact anatomical depiction.

© Cengiz Dibekoğlu — illustrative; not for unauthorized use

Figure summary

This educational figure shows: Cirrhosis.

Key points

  • Symptoms

    Early disease can be silent. Later: fatigue, ascites, jaundice, easy bruising, confusion.

  • Portal hypertension

    Key note inside

    Rising portal pressure drives esophageal/gastric varices, splenomegaly, and ascites. Variceal bleeding is a major emergency.

  • Surveillance and protection

    Treat the cause, manage ascites, screen varices (endoscopy), and HCC surveillance (US ± AFP). Vaccinations matter.

  • Surgery caution

    Key note inside

    Any operation carries higher risk in cirrhosis; liver reserve and varices shape the decision.

This page is for education. It is not medical advice and does not replace a visit with your physician.

Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026 · English patient-education chapter.