Liver fibrosis in paediatric liver diseases

Research output: Contribution to journalArticle

Abstract

Numerous paediatric liver diseases from different origins may be complicated by development of liver fibrosis and progression to cirrhosis. Although fibrogenesis, which represents a major driving force for the development of liver fibrosis, has common tracts whatever the aetiology, liver fibrosis has different histopathological patterns in paediatric liver disease. In these diseases management choices may depend upon the stage of liver fibrosis. Thus, the accurate estimation of histological pattern of liver fibrosis is important for the prevention of the subsequent complications. Liver biopsy has long been considered as a gold standard diagnostic method for assessing liver fibrosis. However, due to its several disadvantages, in the last decades alternative and accurate non-invasive means to estimate fibrosis are developed. In this review, we characterised the most frequent histological patterns of liver fibrosis in paediatric liver diseases. Furthermore, we describe use of liver biopsy in diagnosis and staging of liver fibrosis, list the alternative non-invasive techniques that have an emerging role in the assessment of liver fibrosis, and propose a management algorithm.

Original languageEnglish
Pages (from-to)259-268
Number of pages10
JournalBailliere's Best Practice and Research in Clinical Gastroenterology
Volume25
Issue number2
DOIs
Publication statusPublished - Apr 2011

Keywords

  • Children
  • Liver biopsy
  • Liver fibrosis
  • Non-invasive methods
  • Scoring system

ASJC Scopus subject areas

  • Gastroenterology

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