Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure

Acute-on-chronic liver failure (ACLF) is a syndrome in which acute liver failure with extrahepatic organ failure occurs on chronic liver disease. Recently, liver transplantation is the only effective treatment for ACLF. There is still room for discussion on the optimal surgery timing for ACLF, perio...

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Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2021-06-01
Series:Liver Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2542568421000192
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collection DOAJ
description Acute-on-chronic liver failure (ACLF) is a syndrome in which acute liver failure with extrahepatic organ failure occurs on chronic liver disease. Recently, liver transplantation is the only effective treatment for ACLF. There is still room for discussion on the optimal surgery timing for ACLF, perioperative infection prevention and control, and maintenance of nutrition and organ function. The Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association and Enhanced Recovery of Liver Transplantation Group of Enhanced Recovery after Surgery Committee of Chinese Research Hospital Association invited relevant experts to discuss the perioperative management of ACLF liver transplantation in areas including surgery timing, organ protection, nutritional support, infection prevention and control, rehabilitation exercises, regulation of the internal environment, etc. An expert consensus was developed as reference for clinicians.
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spelling doaj.art-d03f9435b13f407d8d626462549e78c22022-12-21T22:10:54ZengKeAi Communications Co., Ltd.Liver Research2542-56842021-06-01523744Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failureAcute-on-chronic liver failure (ACLF) is a syndrome in which acute liver failure with extrahepatic organ failure occurs on chronic liver disease. Recently, liver transplantation is the only effective treatment for ACLF. There is still room for discussion on the optimal surgery timing for ACLF, perioperative infection prevention and control, and maintenance of nutrition and organ function. The Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association and Enhanced Recovery of Liver Transplantation Group of Enhanced Recovery after Surgery Committee of Chinese Research Hospital Association invited relevant experts to discuss the perioperative management of ACLF liver transplantation in areas including surgery timing, organ protection, nutritional support, infection prevention and control, rehabilitation exercises, regulation of the internal environment, etc. An expert consensus was developed as reference for clinicians.http://www.sciencedirect.com/science/article/pii/S2542568421000192Acute-on-chronic liver failureChronic liver diseaseInfection prevention and controlLiver transplantationNutritional supportOrgan protection
spellingShingle Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
Liver Research
Acute-on-chronic liver failure
Chronic liver disease
Infection prevention and control
Liver transplantation
Nutritional support
Organ protection
title Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
title_full Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
title_fullStr Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
title_full_unstemmed Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
title_short Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure
title_sort expert consensus on perioperative management of liver transplantation in adults with acute on chronic liver failure
topic Acute-on-chronic liver failure
Chronic liver disease
Infection prevention and control
Liver transplantation
Nutritional support
Organ protection
url http://www.sciencedirect.com/science/article/pii/S2542568421000192