Treatment of acute decompensation of cirrhosis and acute-on-chronic liver failure

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About Course

This course focuses on the clinical management of acute decompensation of cirrhosis and acute-on-chronic liver failure (ACLF). Through expert-led video lectures, you will examine the natural history of cirrhosis and gain practical, evidence-based guidance on the diagnosis and treatment of its most frequent and severe complications, including ascites, hepatorenal syndrome, gastrointestinal bleeding, hepatic encephalopathy, and infections.

The course also addresses the specific management of ACLF and the use of prognostic scores to support clinical decision-making, particularly in the context of liver transplantation. Emphasis is placed on early recognition, integrated care, and real-world application to improve outcomes in patients with advanced chronic liver disease.

 

In this course, you will:

  • Understand the natural history of cirrhosis and the mechanisms leading to acute decompensation
  • Learn evidence-based medical management of ascites and hepatorenal syndrome
  • Review current approaches to the prevention and treatment of gastrointestinal bleeding in cirrhosis
  • Gain practical strategies for the diagnosis and management of hepatic encephalopathy
  • Understand how to prevent, recognize, and manage infections in patients with advanced liver disease
  • Explore the principles of diagnosis and treatment of acute-on-chronic liver failure
  • Learn how to use prognostic scores to guide clinical decisions, including referral and prioritization for liver transplantation
  • Strengthen clinical reasoning through a comprehensive, patient-centered approach to complex cirrhosis-related complications
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Course Content

Natural history of cirrhosis

  • Video: Case study S1C2M1-01
    03:29
  • Video: Pathophysiology of decompensation and organ failure
    09:10
  • Video: Natural history of decompensated cirrhosis
    06:27
  • Video: Case study S1C2M1-02
    02:41
  • Video: New definitions of decompensation
    09:09
  • Video: Case study S1C2M1-03
    03:54
  • Video: Clinical trajectories after acute decompensation
    08:56
  • Video: Module 1 wrap-up
    01:46
  • Readings
  • Assignment S1C2M1-A01: Interactive quiz
  • Assignment S1C2M1-A02: Case-based essay

Medical management of ascites and hepatorenal syndrome

Medical management of gastrointestinal bleeding

Medical management of hepatic encephalopathy

Prevention and management of infections

Medical management of acute-on-chronic liver failure

Usage of prognostic scores with the perspective of liver transplantation