Related Experiment Video
Updated: Sep 27, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Paediatric cholestatic liver disorders for the adult gastroenterologist: a practical guide
Claire Kelly1, Jeremy Shanika Nayagam1, Stamatina Vogli1
1Institute of Liver Studies, King's College Hospital, London, UK.
Insights
As more children with cholestatic liver diseases survive, adult physicians need expertise in managing these complex conditions. This review guides adult care for pediatric liver diseases.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
- Internal Medicine
Background:
- Improved outcomes for pediatric cholestatic liver diseases necessitate adult care.
- Adult physicians require specialized knowledge for these historically pediatric conditions.
Purpose of the Study:
- To provide an overview of common pediatric cholestatic liver diseases.
- To outline clinical manifestations, complications, and management for adult care.
Main Methods:
- Literature review of pediatric cholestatic liver diseases.
- Synthesis of current management strategies for adult patients.
Main Results:
- Identification of key pediatric cholestatic liver diseases.
- Summary of unique management considerations for each condition in adults.
Conclusions:
- Adult care providers need to develop expertise in managing transitioned pediatric liver disease patients.
- Effective ongoing care requires understanding specific disease manifestations and complications.
Abstract:
With improvements in the outcomes for cholestatic liver diseases that present in childhood, increasing numbers of patients will require ongoing care as adults. The recent advances in management options coupled with the fact that each adult physician will have a limited number of patients with these conditions means there is a need for those in adult services to develop expertise in these conditions that were historically the domain of paediatrics. This review provides an overview of the most common paediatric cholestatic liver diseases and outlines the clinical manifestations and potential complications, and identifies key management issues unique to each condition for effective ongoing care of these patients.
Related Concept Videos
Diseases of the Liver and Gallbladder
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Endoscopic Procedures V: ERCP
Patient...
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...

