Transforming lives: A triumph of public-private partnership in successful liver transplants
(Source: Indian Journal of Gastroenterology)
Source: Indian Journal of Gastroenterology - April 5, 2024 Category: Gastroenterology Source Type: research

Critical care management of acute liver failure
AbstractThe management of acute liver failure (ALF) in modern hepatology intensive care units  (ICU) has improved patient outcomes. Critical care management of hepatic encephalopathy, cerebral edema, fluid and electrolytes; prevention of infections and organ support are central to improved outcomes of ALF. In particular, the pathogenesis of encephalopathy is multifactorial, with ammonia, el evated intra-cranial pressure and systemic inflammation playing a central role. Although ALF remains associated with high mortality, the availability of supportive care, including organ failure support such as plasma exchange, timely m...
Source: Indian Journal of Gastroenterology - April 5, 2024 Category: Gastroenterology Source Type: research

Acute kidney injury in acute liver failure: A narrative review
AbstractAcute kidney injury (AKI) is a frequent complication of acute liver failure (ALF) and it worsens the already worse prognoses of ALF. ALF is an uncommon disease, with varying etiologies and varying definitions in different parts of the world. There is limited literature on the impact of AKI on the outcome of ALF with or without transplantation. The multifaceted etiology of AKI in ALF encompasses factors such as hemodynamic instability, systemic inflammation, sepsis and direct nephrotoxicity. Indications of renal replacement therapy (RRT) for AKI in ALF patients extend beyond the conventional criteria for dialysis an...
Source: Indian Journal of Gastroenterology - April 5, 2024 Category: Gastroenterology Source Type: research

Direct-Acting Antiviral Therapy for Patients with Chronic Hepatitis C Infection and Decompensated Cirrhosis
AbstractPatients with chronic hepatitis C virus (HCV) infection and decompensated cirrhosis are an important population for antiviral therapy yet under-represented in clinical trials. HCV direct-acting antiviral (DAA) therapies, unlike interferon-containing regimens, can be safely utilized in decompensated patients. Per guidelines from the American Association for the Study of Liver Diseases (AASLD), therapy of choice in HCV and decompensated cirrhosis is sofosbuvir, an HCV polymerase inhibitor, combined with a replication complex inhibitor (NS5A inhibitor) with or without ribavirin. Combination therapy with a HCV protease...
Source: Digestive Diseases and Sciences - April 5, 2024 Category: Gastroenterology Source Type: research

Transforming lives: A triumph of public-private partnership in successful liver transplants
(Source: Indian Journal of Gastroenterology)
Source: Indian Journal of Gastroenterology - April 5, 2024 Category: Gastroenterology Source Type: research