The management of childhood liver diseases in adulthood

An increasing number of patients with childhood liver disease survive into adulthood. These young adults are now entering adult services and require ongoing management. Aetiologies can be divided into liver diseases that develop in young adults which present to adult hepatologists i.e., biliary atresia and Alagille syndrome or liver diseases that occur in children/adolescents and adults i.e., autoimmune hepatitis or Wilson's disease. To successfully manage these young adults, a dynamic and responsive transition service is essential. In this review, we aim to describe the successful components of a transition service highlighting the importance of self-management support and a multi-disciplinary approach. We will also review some of the liver specific aetiologies which are unique to young adults, offering an update on pathogenesis, management and outcomes. publisher: Elsevier articletitle: The management of childhood liver diseases in adulthood journaltitle: Journal of Hepatology articlelink: http://dx.doi.org/10.1016/j.jhep.2016.11.013 content_type: article copyright: © 2016 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved. ispartof: Journal of Hepatology vol:66 issue:3 pages:631-644 ispartof: location:Netherlands status: published