Alcohol-related liver disease progresses through three stages: fatty liver (steatosis), alcoholic hepatitis, and cirrhosis, each carrying progressively worse outcomes.
Fatty liver develops in 90% of heavy drinkers and is fully reversible with alcohol cessation. Cirrhosis represents irreversible scarring, though progression can be halted.
The cornerstone of treatment is complete alcohol abstinence. Nutritional support, infection management, and complication treatment form the core of medical care.
Recovery is possible from significant liver damage if alcohol stops early enough. Liver transplantation is an option for selected patients with end-stage disease demonstrating sustained sobriety.
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