Acute-on-chronic liver failure: consensus recommendations of the Asian Pacific Association for the study of the liver (APASL)

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作者
Shiv Kumar Sarin
Ashish Kumar
John A. Almeida
Yogesh Kumar Chawla
Sheung Tat Fan
Hitendra Garg
H. Janaka de Silva
Saeed Sadiq Hamid
Rajiv Jalan
Piyawat Komolmit
George K. Lau
Qing Liu
Kaushal Madan
Rosmawati Mohamed
Qin Ning
Salimur Rahman
Archana Rastogi
Stephen M. Riordan
Puja Sakhuja
Didier Samuel
Samir Shah
Barjesh Chander Sharma
Praveen Sharma
Yasuhiro Takikawa
Babu Ram Thapa
Chun-Tao Wai
Man-Fung Yuen
机构
[1] G. B. Pant Hospital,Department of Gastroenterology
[2] Affiliated to University of Delhi,Department of Hepatology
[3] Institute of Liver & Biliary Sciences (ILBS),Gastrointestinal and Liver Unit
[4] The Prince of Wales Hospital and University of New South Wales,Department of Hepatology
[5] Post Graduate Institute of Medical Education and Research,Department of Surgery
[6] The University of Hong Kong,Department of Medicine
[7] Faculty of Medicine,Section of Gastroenterology
[8] University of Kelaniya,The University College London (UCL) Institute of Hepatology
[9] Department of Medicine,Department of Medicine
[10] The Aga Khan University Hospital,Department of Medicine
[11] Division of Medicine,Beijing Youan Hospital
[12] University College London,Department of Medicine
[13] Faculty and Medicine,Laboratory of Infectious Immunology, Department of Infectious Disease
[14] Chulalongkorn University,Department of Hepatology
[15] The University of Hong Kong,Department of Pathology
[16] Capital University of Medical Sciences,Department of Pathology
[17] Faculty of Medicine,INSERM Unité 785
[18] University of Malaya,Department of Gastroenterology
[19] Institute of Immunology,Department of Gastroenterology and Hepatology
[20] Huazhong University of Science and Technology,Division of Pediatric Gastroenterology, Department of Gastroenterology
[21] Bangabandhu Sheikh Mujib Medical University,Asian Center for Liver Diseases and Transplantation
[22] Institute of Liver & Biliary Sciences (ILBS),undefined
[23] G. B. Pant Hospital,undefined
[24] Affiliated to University of Delhi,undefined
[25] AP-HP Hôpital Paul Brousse,undefined
[26] Jaslok Hospital and Research Center,undefined
[27] Iwate Medical University,undefined
[28] Post Graduate Institute of Medical Education and Research,undefined
[29] Gleneagles Hospital,undefined
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关键词
Acute-on-chronic liver failure; Acute-on-chronic liver disease; Liver failure; Hepatic failure; Hepatitis; Cirrhosis;
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摘要
The Asian Pacific Association for the Study of the Liver (APASL) set up a working party on acute-on-chronic liver failure (ACLF) in 2004, with a mandate to develop consensus guidelines on various aspects of ACLF relevant to disease patterns and clinical practice in the Asia-Pacific region. Experts predominantly from the Asia–Pacific region constituted this working party and were requested to identify different issues of ACLF and develop the consensus guidelines. A 2-day meeting of the working party was held on January 22–23, 2008, at New Delhi, India, to discuss and finalize the consensus statements. Only those statements that were unanimously approved by the experts were accepted. These statements were circulated to all the experts and subsequently presented at the Annual Conference of the APASL at Seoul, Korea, in March 2008. The consensus statements along with relevant background information are presented in this review.
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