51. Serum bile acids as marker for acute decompensation and acute-on-chronic liver failure in patients with non-cholestatic cirrhosis
- Author
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Kevin Roedl, Günter Fauler, Arnulf Ferlitsch, Michael Trauner, Valentin Fuhrmann, Thomas Horvatits, Andreas Drolz, and Karoline Rutter
- Subjects
0301 basic medicine ,Liver Cirrhosis ,Male ,medicine.medical_specialty ,Cirrhosis ,Portal venous pressure ,education ,Gastroenterology ,Severity of Illness Index ,Bile Acids and Salts ,03 medical and health sciences ,Liver disease ,0302 clinical medicine ,Cholestasis ,Internal medicine ,Severity of illness ,Hypertension, Portal ,Medicine ,Humans ,Decompensation ,Prospective Studies ,Prospective cohort study ,Survival rate ,Hepatology ,business.industry ,Acute-On-Chronic Liver Failure ,Bacterial Infections ,Middle Aged ,medicine.disease ,Prognosis ,Survival Rate ,030104 developmental biology ,Endocrinology ,Logistic Models ,ROC Curve ,Austria ,Multivariate Analysis ,Disease Progression ,030211 gastroenterology & hepatology ,Female ,business ,Biomarkers - Abstract
Background & Aims Retention of bile acids (BAs) plays a central role in hepatic damage and disturbed BA signalling in liver disease. However, there is lack of data regarding the association of BAs with clinical complications, acute decompensation (AD) and acute-on-chronic liver failure (ACLF). Thus, we aimed to evaluate the impact of circulating serum BAs for complications in patients with cirrhosis. Methods Therefore, 143 patients with established cirrhosis were included in this prospective cohort type observational study. Total serum BAs and individual BA composition were assessed in all patients on admission via high performance liquid chromatography. Clinical complications with respect to AD, ACLF as well as 1-year transplant-free survival were recorded. Results Total BAs and individual serum BAs were significantly higher in patients with bacterial infection, AD and ACLF (p
- Published
- 2016