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Updated: May 10, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
Liver disease in cystic fibrosis
Lisette Leeuwen1, Dominic A Fitzgerald2, Kevin J Gaskin3
1Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, Australia; Medical School, University of Groningen, Groningen, The Netherlands.
Improved survival in cystic fibrosis (CF) has led to increased recognition of liver disease. This review overviews current knowledge on Cystic Fibrosis-associated Liver Disease (CFLD) in children.
Area of Science:
- Pediatrics
- Hepatology
- Genetics
Background:
- Improved survival in cystic fibrosis (CF) patients due to early diagnosis and advanced care.
- Increased prevalence of non-respiratory complications, particularly liver disease, in the aging CF population.
- Biochemical liver enzyme abnormalities are common in CF, stemming from various hepatobiliary issues.
Purpose of the Study:
- To provide a comprehensive overview of current knowledge regarding liver disease in pediatric patients with cystic fibrosis.
- To explore the clinical significance and impact of Cystic Fibrosis-associated Liver Disease (CFLD).
- To address the uncertainties surrounding the prognostic implications of CFLD on clinical outcomes.
Main Methods:
- Literature review of current research on liver disease in pediatric cystic fibrosis.
- Analysis of studies focusing on Cystic Fibrosis-associated Liver Disease (CFLD) prevalence, diagnosis, and management.
- Synthesis of information on the impact of CFLD on morbidity and mortality in children with CF.
Main Results:
- Cystic Fibrosis-associated Liver Disease (CFLD) is a significant hepatic complication impacting CF patient morbidity and mortality.
- Early diagnosis and improved care have increased CF patient lifespan, highlighting non-respiratory complications like CFLD.
- The precise prognostic impact of CFLD on long-term clinical outcomes remains an area of ongoing research and conjecture.
Conclusions:
- Cystic Fibrosis-associated Liver Disease (CFLD) is a critical concern in pediatric CF care.
- Understanding CFLD's impact is crucial for improving long-term outcomes in children with cystic fibrosis.
- Further research is needed to clarify the prognostic implications of CFLD for better patient management.
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