Description
Decompensated cirrhosis affects over 10 million people worldwide and is the cause of mortality of about 2 million people yearly. Death rates remain largely unchanged, despite escalating healthcare costs. The clinical and prognostic models of decompensated cirrhosis have been studied extensively in the past 20 years, leading up to the identification of a newly defined clinical entity: acute-on-chronic liver failure.
Emerging data from studies on the pathophysiological basis of decompensated cirrhosis has identified systemic inflammation as being central to the progression of liver disease and mortality. This new understanding is leading to rapid changes in the approaches to the management of cirrhotic patients, design of clinical trials, and selection of patients for early liver transplantation. In recognition of the exciting new developments in the field, EASL and the Journal of Hepatology have published a special Supplement summarising the current literature authored by leaders in the field. These two EASL webinars have been designed to allow the authors to critically discuss recent advances in decompensated cirrhosis with the audience.
This second webinar will take place on 1 June 2021, 18:00–19:30 CET.
Learning objectives
- Understand the changing epidemiology of cirrhosis
- Learn about new perspectives in the trajectory of cirrhosis and why acute on chronic liver failure should be considered a distinct clinical entity
- Understand the role of systemic inflammation and how this fits into the established pathophysiological mechanisms of decompensated cirrhosis
- Understand how the management of decompensated cirrhosis is changing, the concept of disease modifying agents and issue of working beyond guidelines
- Discover how sarcopenia and frailty impact on outcomes, their assessment and therapeutic approaches
- Explore nuances in the intensive care management of patients with ACLF and the role of liver transplantation
Faculty
| Name | Affiliation | |
| Prof. Paolo Angeli | University of Padova | Chair |
| Prof. Marina Berenguer | University of Valencia | Chair |
| Dr. William Bernal | Kings College London | Speaker |
| Prof. Raj Mookerjee | University College London | Speaker |
| Prof. Puneeta Tandon | University of Alberta | Speaker |
| Prof. Patrizia Burra | University of Padova | Speaker |
Programme
| Time | Topic | Speakers |
| 18:00 – 18:05 | Welcome and Introduction | Paolo Angeli / Marina Berenguer |
| 18:05 – 18:20 | Intensive Care Management | William Bernal |
| 18:20 – 18:35 | Established and Novel therapies for decompensated cirrhosis | Raj Mookerjee |
| 18:35 – 18:50 | Assessment and management of Sarcopenia and Frailty | Puneeta Tandon |
| 18:50 – 19:05 | Changing rules for transplanting patients with decompensated cirrhosis | Patrizia Burra |
| 19:05 – 19:30 | Discussion and Q&A | All |
Journal of Hepatology Supplement
Publication of the supplement was supported financially by CSL Behring. The sponsor had no involvement in content development, the decision to submit the manuscript or in the acceptance of the manuscript for publication.
Liver Transplantation at ILC 2021
Liver Transplantation and Surgery will be given a special emphasis at ILC 2021.
Cirrhosis & Complications at ILC 2021
At ILC 2021, this track presents an overview of the role of vessels in liver diseases. The track content will include not only the role of liver sinusoidal changes in liver disease progression, but also the management of portal and hepatic vein thrombosis and their complications. The management of complications of portal hypertension will also be addressed, including the place of transjugular intrahepatic portosystemic shunt (TIPS) and the management of patients with advanced cirrhosis and acute-on-chronic liver failure (ACLF).