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  1. Pediatric Acute-on-Chronic Liver Failure

    Acute-on-chronic liver failure (ACLF) is characterized by an acute hepatic insult happening in a patient with underlying cirrhosis with compromised...

    Seema Alam, Bikrant Bihari Lal in Indian Journal of Pediatrics
    Article 22 June 2023
  2. Intensive care management of acute-on-chronic liver failure

    Acute-on-chronic liver failure (ACLF) is a clinical syndrome defined by an acute deterioration of the liver function associated with extrahepatic...

    Giovanni Perricone, Thierry Artzner, ... Marco Carbone in Intensive Care Medicine
    Article 08 August 2023
  3. Acute-on-chronic liver failure: far to go—a review

    Acute-on-chronic liver failure (ACLF) has been recognized as a severe clinical syndrome based on the acute deterioration of chronic liver disease and...

    **** Luo, Jiaqi Li, ... Jun Li in Critical Care
    Article Open access 01 July 2023
  4. Acute Kidney Injury in Acute on Chronic Liver Failure Versus Decompensated Cirrhosis—What Is the Difference?

    Purpose of Review

    Hepatorenal syndrome (HRS), the severe manifestation of renal injury in patients with cirrhosis and acute on chronic liver failure...

    Satender Pal Singh, Tushar Madke, Rakhi Maiwall in Current Hepatology Reports
    Article 11 March 2024
  5. APASL clinical practice guidelines on the management of acute kidney injury in acute-on-chronic liver failure

    Acute-on-chronic liver failure (ACLF) is a syndrome that is characterized by the rapid development of organ failures predisposing these patients to a...

    Rakhi Maiwall, Satender Pal Singh, ... Shiv Kumar Sarin in Hepatology International
    Article 05 April 2024
  6. Risk stratification based on acute-on-chronic liver failure in cirrhotic patients hospitalized for acute variceal bleeding

    Background and aims

    Acute variceal bleeding (AVB) is a life-threatening complication of cirrhosis. Acute-on-chronic liver failure (ACLF) is a syndrome...

    Zongyi Zhu, Huiqing Jiang in BMC Gastroenterology
    Article Open access 12 May 2023
  7. Liver transplantation in patients with acute-on-chronic liver failure

    Acute-on-chronic liver failure (ACLF) is a dynamic syndrome associated with a very high short-term mortality. Hence, the ongoing assessment of...

    Gandhi Lanke, Joseph J. Alukal, Paul J. Thuluvath in Hepatology International
    Article 29 July 2022
  8. Spur cells in liver cirrhosis are predictive of acute-on-chronic liver failure and liver-related mortality regardless of severe anaemia

    Chronic anaemia in advanced liver disease is a frequent finding. The aim was to explore the clinical impact of spur cell anaemia, a rare entity...

    Michele Bevilacqua, Leonardo De Marco, ... David Sacerdoti in Internal and Emergency Medicine
    Article Open access 22 May 2023
  9. Thrombospondin 1 enhances systemic inflammation and disease severity in acute-on-chronic liver failure

    Background

    The key role of thrombospondin 1 (THBS1) in the pathogenesis of acute-on-chronic liver failure (ACLF) is unclear. Here, we present a...

    Hozeifa Mohamed Hassan, ** Liang, ... Jun Li in BMC Medicine
    Article Open access 05 March 2024
  10. Clinical features and prognosis of acute-on-chronic liver failure in patients with recompensated cirrhosis

    Background

    There are few studies on acute-on-chronic liver failure (ACLF) in patients with recompensated cirrhosis. This study was aimed to...

    Haixia Yuan, Yingying Cao, ... Tao Han in BMC Gastroenterology
    Article Open access 19 September 2023
  11. Mixed mode of artificial liver support in patients with acute-on-chronic liver failure: a retrospective cohort study

    Background and aims

    Different modes of artificial liver support (ALS) therapy can improve the survival of patients with acute-on-chronic liver failure...

    **ao-hao Wang, Bin-bin Peng, ... Shan Zhong in Hepatology International
    Article 07 August 2023
  12. Healthcare utilization and outcomes of living donor liver transplantation for patients with APASL-defined acute-on-chronic liver failure

    Background

    Liver transplantation (LT) is associated with excellent survival in patients with acute-on-chronic liver failure (ACLF). There is a lack of...

    Anand V. Kulkarni, Raghuram Reddy, ... K. Rajender Reddy in Hepatology International
    Article 05 June 2023
  13. Complement C3 Facilitates Stratification of Stages of Chronic Hepatitis B and Signifies Development of Acute-on-Chronic Liver Failure in Acute Decompensated Cirrhosis

    Introduction

    Patients with chronic hepatitis B (CHB) have a dynamic disease process and risk of end-stage liver disease. It is critical to...

    Chong Chen, Zhu Yuan, ... Liang Chen in Advances in Therapy
    Article 18 January 2023
  14. Acute-on-chronic liver failure alters linezolid pharmacokinetics in critically ill patients with continuous hemodialysis: an observational study

    Background

    In acute-on-chronic liver failure (ACLF), adequate antibiotic dosing is challenging due to changes of drug distribution and elimination. We...

    Tjokosela Tikiso, Valentin Fuhrmann, ... Jörn Grensemann in Annals of Intensive Care
    Article Open access 12 September 2023
  15. Liver metabolomics reveals potential mechanism of Jieduan-Niwan formula against acute-on-chronic liver failure (ACLF) by improving mitochondrial damage and TCA cycle

    Background

    Acute-on-chronic liver failure (ACLF) is a refractory disease with high mortality, which is characterized by a pathophysiological process...

    Jiajun Liang, **aoyi Wei, ... Qiuyun Zhang in Chinese Medicine
    Article Open access 30 November 2023
  16. A novel prognostic model to predict mortality in patients with acute-on-chronic liver failure in intensive care unit

    Acute-on-chronic liver failure (ACLF) implies high short-term mortality rates and usually requires intensive care unit (ICU) admission. Proper...

    Shih-Hua Lin, Wei-Ting Chen, ... Rong-Nan Chien in Internal and Emergency Medicine
    Article 22 February 2024
  17. Serum interleukin-6 level predicts the prognosis for patients with alcohol-related acute-on-chronic liver failure

    Aim

    Heavy alcohol consumption is the most common etiology of acute-on-chronic liver failure (ACLF) in Japan. In some patients, ACLF is associated with...

    Serami Murakami, Michio Imamura, ... Shiro Oka in Hepatology International
    Article 26 April 2023
  18. Liver-derived extracellular vesicles from patients with hepatitis B virus-related acute-on-chronic liver failure impair hepatic regeneration by inhibiting on FGFR2 signaling via miR-218-5p

    Background

    Impaired liver regeneration in hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) patients is closely related to...

    Senquan Zhang, Jie Yu, ... Hualian Hang in Hepatology International
    Article 13 April 2023
  19. Evidence for and Against Liver Transplantation for Acute-on-Chronic Liver Failure

    Purpose of review

    Liver transplantation for patients with acute-on-chronic liver failure (ACLF) is controversial. This article summarizes recent...

    Lisa Deng, Vinay Sundaram in Current Treatment Options in Gastroenterology
    Article 19 April 2022
  20. Downregulated VISTA enhances Th17 differentiation and aggravates inflammation in patients with acute-on-chronic liver failure

    Background and aims

    Persistent inflammatory response and immune activation are the core mechanisms underlying acute-on-chronic liver failure (ACLF)....

    Yao Zhang, Xueyun Zhang, ... Jiming Zhang in Hepatology International
    Article 22 March 2023
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