LIBRO + ANEXOS GASTROENTEROLOGÍA, HEPATOLOGÍA Y NUTRICIÓN PEDIÁTRICA

Libro Blanco de las ACES Pediátricas 2024 58 ❚ 16 2. Recognises treatment options for anorectal disease H G DISORDERS OF LIVER AND PANCREAS I Interpretation of liver test abnormalities 1. Demonstrates knowledge of the basics in liver testing H II Management of acute liver failure Including: • Acute liver failure • Acute on chronic liver failure 1. Demonstrates knowledge of the causes and clinical manifestations of acute liver failure H 2. Knows how to investigate for the different causes of acute liver failure H 3. Knows the initial management of acute liver failure patient until the transfer to a liver unit H 4. Knows indications and contraindications for liver biopsy in acute liver failure H 5. Understands the pathophysiology of complications H 6. Liaises with intensivists, liver transplant surgeons and transplant co-ordinators H 7. Knows about the extracorporeal liver support devices B III Management of chronic and end-stage liver disease and the associated complications Including: • Cirrhosis • Portal hypertension • Autoimmune liver disease • Sclerosing cholangitis • Gallbladder stones • Metabolic liver disease (including Wilson’s disease, alpha-1-antitrypsin deficiency, cystic fibrosis) • IFALD • NASH/NAFLD • Outlet obstruction syndromes (Budd-Chiari syndrome) • Viral hepatitis • Toxic liver disease 1. Understands the clinical presentation and complications of chronic liver disease H 2. Explains the pathophysiology, clinical picture and presentation of portal hypertension H 3. Understands pathophysiology of portal hypertension and its complications H 4. Knows diagnostic procedures in portal hypertension H 5. Knows the risk for upper GI bleeding and management strategy H 6. Understands the different causes of ascites in children with liver disease and knows treatment options for ascites and spontaneous bacterial peritonitis H 7. Understands the indications and contraindications for a transjugular intra- hepatic portosystemic shunt (TIPS) or surgical shunt surgery in children with portal hypertension H 8. Understands metabolic diseases affecting the liver H 9. Understands diagnostic procedures and treatment of autoimmune liver disease (including cholangitis) H