Libro blanco de las ACES Pediátricas 2024

Gastroenterología, Hepatología y Nutrición Pediátrica. Anexos ❚ 295 17 10. Understands risk factors for intestinal failure associated with liver disease (IFALD) H 11. Interprets diagnostic tests for hepatotropic viruses and is aware of available treatment options for viral hepatitis B and C H 12. Manages the liver complications of immunodeficiency, including the post chemotherapy B 13. Identifies the various presentations of hepatic vascular abnormalities H 14. Understands patho-mechanism, presentation and treatment options of hepatic outflow obstruction (Budd–Chiari syndrome and veno-occlusive disease) H 15. Explains the causes and complications of gallbladder stones H 16. Understands clinical picture, diagnostic procedures and treatment options of cholangitis H 17. Recognizes and manages fatty liver disease including NASH H 18. Understands differential diagnosis of liver masses, be able to initiate the diagnostic in liver masses and liaises with oncologist (if liver tumours) H 19. Recognises and objectively assesses nutritional deficiencies in children with chronic liver disease, and understands the indications for enteral or parenteral support and their limitations H 20. Manages investigation of persistently raised transaminases in a child H IV Management of different conditions of infantile cholestasis Including: • Biliary atresia • Progressive familial intrahepatic cholestasis • Alagille syndrome • Choledochal cysts 1. Knows the causes, pathophysiology and possible genetic basis of intra- and extra-hepatic cholestasis H 2. Understands the importance of appropriate investigations and a medical treatment for infantile cholestasis H 3. Understands the urgent need for certain cases of infantile cholestasis to be referred to a liver centre H 4. Interprets liver biochemistry, ultrasound and other imaging findings and biopsy results in infantile cholestasis and understands their importance and limitations in helping to reach a diagnosis H 5. Manages children with biliary atresia and understands the principles of the Kasai porto-enterostomy H 6. Knows how to treat cholangitis, pruritus and failed bile drainage in children post-Kasai B 7. Knows how to assess the need for liver transplant H 8. Manages pruritus secondary to liver disease H 9. Understands indications and contraindications for different types of biliary diversion surgery H 10. Advises on the management of children with pathological causes of unconjugated jaundice and understands the associated risks H 11. Recognises and objectively assesses nutritional deficiencies in cholestatic children and competently manages those deficiencies H V Management of transplantation process 1. Discusses the principles of patient selection for liver transplantation H