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https://www.ncbi.nlm.nih.gov/pubmed/27906797

Sood V, Lal BB, Khanna R, Rawat D, Sharma CB, Alam S. J Pediatr Gastroenterol Nutr. 2016 Nov 30.

Abstract

BACKGROUND:

Non-cirrhotic portal fibrosis (NCPF) has been classically described as a disease of young to middle age with limited literature regarding its occurrence, onset or clinical presentation in children. We hereby present a series of 19 patients diagnosed and managed as NCPF in pediatric age group.

METHODS:

A retrospective review of all the patients presenting to the pediatric hepatology department (age < 18 years) and diagnosed as NCPF was done and data was evaluated.

RESULTS:

Published on: 
Nov-2016

https://www.ncbi.nlm.nih.gov/pubmed/27663215

Usatin D, Fernandes M, Allen IE, Perito ER, Ostroff J, Heyman MB. J Pediatr. 2016 Dec;179:160-165.e3. doi: 10.1016/j.jpeds.2016.08.046.

Abstract

OBJECTIVES:

To systematically review risks and summarize reported complication rates associated with the performance of endoscopic retrograde cholangiopancreatography (ERCP) in children during the past 2 decades.

STUDY DESIGN:

Published on: 
Nov-2016

https://www.ncbi.nlm.nih.gov/pubmed/27906803

Vos MB, Abrams SH, Barlow SE, Caprio S, Daniels SR, Kohli R, Mouzaki M, Sathya P, Schwimmer JB, Sundaram SS, Xanthakos SA. J Pediatr Gastroenterol Nutr. 2016 Nov 30.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is a highly prevalent chronic liver disease that occurs in the setting of insulin resistance and increased adiposity. It has rapidly evolved into the most common liver disease seen in the pediatric population and is a management challenge for general pediatric practitioners, subspecialists and for health systems. In this guideline, the expert committee on NAFLD (ECON) reviewed and summarized the available literature, formulating recommendations to guide screening and clinical care of children with NAFLD.

Published on: 
Nov-2016

https://www.ncbi.nlm.nih.gov/pubmed/27297203
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Colombo C, Crosignani A, Alicandro G, Zhang W, Biffi A, Motta V, Corti F, Setchell KD.
J Pediatr. 2016 Oct;177:59-65.e1. doi: 10.1016/j.jpeds.2016.05.008.

Abstract

OBJECTIVE:
To evaluate the fasting and postprandial serum bile acid composition in patients with cystic fibrosis-associated liver disease (CFLD) after chronic administration of ursodeoxycholic acid (UDCA) (20 mg/kg/day). The aim was to specifically focus on the extent of biotransformation of UDCA to its hepatotoxic metabolite, lithocholic acid, because of recent concerns regarding the safety of long-term, high-dose UDCA treatment for CFLD.

STUDY DESIGN:

Published on: 
Oct-2016

https://www.ncbi.nlm.nih.gov/pubmed/27846064

Heard K, Anderson V, Dart RC, Kile D, Lavonas E, Green JL. J Pediatr Gastroenterol Nutr. 2016 Nov 14.

Abstract

Acetaminophen toxicity is a common cause of pediatric liver failure. The diagnosis may be limited by the short window of detection of acetaminophen in serum. Recently acetaminophen protein adducts (APAP-CYS) have been used as a biomarker with a longer duration of detection. The objective of this study was to describe the serum concentrations of APAP-CYS in pediatric patients with and without reported therapeutic acetaminophen exposure.

METHODS:

Published on: 
Nov-2016

https://www.ncbi.nlm.nih.gov/pubmed/27749613

Witters P, Hughes D, Karthikeyan P, Ramakrishna S, Davenport M, Dhawan A, Grammatikopoulos T. J Pediatr Gastroenterol Nutr. 2016 Oct 4.

Abstract

BACKGROUND AND AIMS:
Variceal haemorrhage can be a life-threatening complication of chronic liver disease in children. There is limited evidence about the optimal prophylactic management and selection criteria of children who will benefit from upper gastrointestinal endoscopy.

METHODS:

Published on: 
Oct-2016

https://www.ncbi.nlm.nih.gov/pubmed/27906797

Sood V, Lal BB, Khanna R, Rawat D, Sharma CB, Alam S. J Pediatr Gastroenterol Nutr. 2016 Nov 30.

Abstract

BACKGROUND:

Non-cirrhotic portal fibrosis (NCPF) has been classically described as a disease of young to middle age with limited literature regarding its occurrence, onset or clinical presentation in children. We hereby present a series of 19 patients diagnosed and managed as NCPF in pediatric age group.

METHODS:

A retrospective review of all the patients presenting to the pediatric hepatology department (age < 18 years) and diagnosed as NCPF was done and data was evaluated.

RESULTS:

Published on: 
Nov-2016

https://www.ncbi.nlm.nih.gov/pubmed/27755342

Jossen J, Annunziato R, Kim HS, Chu J, Arnon R. J Pediatr Gastroenterol Nutr. 2016 Oct 13.

Abstract

OBJECTIVES:
Autoimmune hepatitis (AIH) and primary sclerosing cholangitis (PSC) are progressive immune-mediated inflammatory diseases that may require liver transplant (LT). Outcomes in children undergoing LT for these diseases are poorly studied in the Pediatric End Stage Liver Disease (PELD) era. We aimed to characterize the outcome of LT in children with AIH and PSC.

METHODS:
Children ≤18 years with PSC or AIH who had a first, isolated LT from 2002-2012 were identified from the UNOS database. Graft and patient outcomes were studied.

RESULTS:

Published on: 
Oct-2016

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