Document Detail


Acute-on-chronic liver failure: current concepts on definition, pathogenesis, clinical manifestations and potential therapeutic interventions.
MedLine Citation:
PMID:  21780899     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In recent years, acute-on-chronic liver failure has been recognized as a specific clinical form of liver failure associated with cirrhosis. The syndrome refers to an acute deterioration of liver function and subsequently of other end organs over a period of weeks following a precipitating event in a patient with previously well- or reasonably well-compensated cirrhosis. These precipitating events include either an indirect (e.g., variceal hemorrhage, sepsis) or a direct (e.g., drug-induced) hepatotoxic factor. The short-term mortality for this condition is more than 50%. At present, considerable efforts are ongoing to better characterize the syndrome, to gain further insight into its pathophysiology and to optimize therapy. This article aims to highlight the current concepts of these various aspects.
Authors:
Wim Laleman; Len Verbeke; Philippe Meersseman; Joost Wauters; Jos van Pelt; David Cassiman; Alexander Wilmer; Chris Verslype; Frederik Nevens
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Expert review of gastroenterology & hepatology     Volume:  5     ISSN:  1747-4132     ISO Abbreviation:  Expert Rev Gastroenterol Hepatol     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101278199     Medline TA:  Expert Rev Gastroenterol Hepatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  523-37     Citation Subset:  IM    
Affiliation:
Department of Liver and Biliopancreatic disorders, University Hospital Gasthuisberg, KU Leuven, B-3000 Leuven, Belgium.
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