| Literature DB >> 30345284 |
Jonel Trebicka1,2,3,4, Thomas Reiberger5,6, Wim Laleman7,8.
Abstract
Acute-on-chronic liver failure (ACLF) is considered a distinct syndrome in patients with liver disease, with systemic inflammation playing a central role. Portal hypertension (PHT) is also aggravated by inflammation and may subsequently impact the course of ACLF. PHT is more than just an increase in portal pressure in the portal venous system; it aggravates the course of liver disease and, thus, also facilitates the development of acute decompensation and ACLF. A critical mechanistic link between PHT and ACLF might be the gut-liver axis, which is discussed in this review.Entities:
Keywords: Acute-on-chronic liver failure, ACLF; Bacterial translocation; Microbiome; Portal hypertension; Systemic inflammation
Year: 2018 PMID: 30345284 PMCID: PMC6189544 DOI: 10.1159/000490262
Source DB: PubMed Journal: Visc Med ISSN: 2297-4725