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Published on: September 30, 2021
Pediatric liver diseases: current challenges and future perspectives
Claudia Della Corte1, Antonella Mosca2, Andrea Vania2
1a Hepato-Metabolic Department , Bambino Gesù Children's Hospital, IRCCS , Rome , Italy.
Insights
Pediatric chronic liver diseases are a growing concern, often diagnosed late due to subtle symptoms. Recent advances improve understanding, diagnosis, and treatment of these childhood liver conditions.
Area of Science:
- Pediatric Hepatology
- Gastroenterology
- Public Health
Background:
- Chronic liver diseases in children are increasing and can lead to adult liver conditions like cirrhosis and cancer.
- These conditions are often under-recognized and diagnosed late in pediatric populations.
- Lack of early symptoms complicates timely diagnosis and intervention.
Purpose of the Study:
- To review recent advances in understanding the pathogenesis of pediatric liver diseases.
- To discuss the latest diagnostic approaches for common childhood liver conditions.
- To highlight novel therapeutic targets and treatments for pediatric liver diseases.
Main Methods:
- Review of recent scientific literature on pediatric liver diseases.
- Analysis of current diagnostic strategies and their limitations.
- Evaluation of emerging therapeutic targets and treatment modalities.
Main Results:
- Significant progress has been made in understanding the underlying mechanisms of pediatric liver diseases.
- New diagnostic tools are improving early detection rates.
- Therapeutic advancements offer improved outcomes for affected children.
Conclusions:
- Early recognition and diagnosis are crucial for managing pediatric liver diseases.
- Continued research into pathogenesis and treatment is vital for improving long-term outcomes.
- Advances in understanding and treatment are transforming the natural history of childhood liver conditions.
Abstract:
Chronic liver diseases in children represent a rising problem with significant effects on public health. In fact, several pediatric liver diseases are precursors of adult chronic hepatopathies, cirrhosis and hepatocellular carcinoma. The prevalence of liver diseases in children is unknown. In the USA, every year, 15,000 children are hospitalized for liver diseases, but these disorders continue to be under-recognized or diagnosed late. The main reason is due to the frequent absence of symptoms in the vast majority of liver diseases, especially in the early stages. In the last few decades several advances have been made in understanding the pathogenesis of liver diseases, permitting the discovery of new therapeutic targets to treat liver diseases, thus improving the natural history of these disorders. In this article we discuss the most recent advances in the understanding of the pathogenesis, diagnosis and treatment of the most frequent pediatric liver diseases.
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