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barcelona . spain - European Association for the Study of the Liver

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BARCELONA . SPAIN<br />

58 POSTGRADUATE COURSE SYLLABUS ALCOHOLIC LIVER DISEASE 59<br />

APRIL 18 - 19/2012 THE INTERNATIONAL LIVER CONGRESS TM 2012<br />

REFERENCES<br />

Lucey, M.R., Mathurin, P., and Morgan, T.R. 2009. Alcoholic hepatitis. N Engl J Med<br />

360:2758-2769.<br />

Gao, B., and Bataller, R. 2011. Alcoholic liver disease: pathogenesis and new <strong>the</strong>rapeutic targets.<br />

Gastroenterology 141:1572-1585.<br />

Sozio, M., and Crabb, D.W. 2008. Alcohol and lipid metabolism. Am J Physiol<br />

Endocrinol Metab 295:E10-16.<br />

Altamirano J, Miquel R, Katoonizadeh A, et al. Development and validation <strong>of</strong> a novel histological<br />

classification with prognostic value <strong>for</strong> alcoholic hepatitis. Hepatology 2011;54:968A.<br />

Jalan R, Williams R. Acute-on-chronic liver failure: pathophysiological basis <strong>of</strong> <strong>the</strong>rapeutic<br />

options. Blood Purif 2002; 20:252-61<br />

Laleman W, et al. Effect <strong>of</strong> <strong>the</strong> molecular adsorbent recirculating system and Prome<strong>the</strong>us devices<br />

on sytemic haemodynamics and vasoactive agents in patients with acut-on-chronic alcoholic liver<br />

failure Crit Care 2006; 10: R108<br />

Lefkowitch JH: Bile ductular cholestasis: an ominous histopathologic sign related to sepsis and<br />

‘cholangitis lenta’. Hum Pathol 1982; 13(1): 19-24<br />

Roskams et al Oxidative stress and oval cell accumulation in mice and humans with alcoholic and<br />

nonalcoholic fatty liver disease. Am J Pathol 2003; 1301-1311<br />

Sens S, Williams R, Jalan R. The pathophysiological basis <strong>of</strong> acute-on-chronic liver failure. <strong>Liver</strong><br />

2002; 22. 5-13<br />

Wong et al. Sepsis in cirrhosis: report <strong>of</strong> <strong>the</strong> 7 th meeting <strong>of</strong> <strong>the</strong> International Ascites Club.<br />

Gut2005; 54;718-725<br />

NONINVASIVE TOOLS IN THE DIAGNOSIS OF ALD<br />

Sebastian Mueller<br />

Heidelberg, Germany<br />

E-mail: sebastian.mueller@urz.uni-heidelberg.de<br />

KEY POINTS<br />

• ALD is underestimated due to limitations in noninvasively screening <strong>for</strong> <strong>the</strong> disease.<br />

• Measurement <strong>of</strong> liver stiffness (LS) by transient elastography is now <strong>the</strong> method <strong>of</strong> choice<br />

to screen <strong>for</strong> alcoholic liver fibrosis/cirrhosis (F3/4 stage). Alternative tools such as acoustic<br />

radiation <strong>for</strong>ce imaging (ARFI) or magnetic resonance elastography (MRE) are under<br />

investigation.<br />

• Normal liver stiffness (

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