title: Liver fibrosis in paediatric liver diseases.
abstract: Numerous paediatric liver diseases from different origins may be complicated by development of liver fibrosis and progression to cirrhosis. Although fibrogenesis, which represents a major driving force for the development of liver fibrosis, has common tracts whatever the aetiology, liver fibrosis has different histopathological patterns in paediatric liver disease. In these diseases management choices may depend upon the stage of liver fibrosis. Thus, the accurate estimation of histological pattern of liver fibrosis is important for the prevention of the subsequent complications. Liver biopsy has long been considered as a gold standard diagnostic method for assessing liver fibrosis. However, due to its several disadvantages, in the last decades alternative and accurate non-invasive means to estimate fibrosis are developed. In this review, we characterised the most frequent histological patterns of liver fibrosis in paediatric liver diseases. Furthermore, we describe use of liver biopsy in diagnosis and staging of liver fibrosis, list the alternative non-invasive techniques that have an emerging role in the assessment of liver fibrosis, and propose a management algorithm.
authors.affiliation: Unit of Liver Research, Bambino Gesù Children's Hospital, IRCCS, P.le S. Onofrio 4, 00165 Rome, Italy. anna.alisi@opbg.net
authors.forename: Anna
authors.initials: A
authors.lastname: Alisi
authors.forename: Rita
authors.initials: R
authors.lastname: de Vito
authors.forename: Lidia
authors.initials: L
authors.lastname: Monti
authors.forename: Valerio
authors.initials: V
authors.lastname: Nobili
mesh_terms: D001656:Biliary Atresia / Q000150:complications; D015415:Biomarkers / Q000097:blood; D001706:Biopsy; D015209:Cholangitis, Sclerosing / Q000150:complications; D003550:Cystic Fibrosis / Q000150:complications; D005234:Fatty Liver / Q000150:complications; D006525:Hepatitis, Viral, Human / Q000150:complications; D006801:Humans; D008099:Liver / Q000473:pathology; D008103:Liver Cirrhosis / Q000175:diagnosis* / Q000209:etiology*; D065626:Non-alcoholic Fatty Liver Disease
chemical_list: D015415:Biomarkers