Complications, symptoms, quality of life and pregnancy in cholestatic liver disease
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Cholestatic liver diseases ( CLD s) encompass a variety of disorders of bile formation and/or flow which generally result in progressive hepatobiliary injury and ultimately end‐stage liver disease. Many patients with CLD are diagnosed between the ages of 20‐50 years, a particularly productive period of life professionally, biologically and in other respects; it is not surprising, thus, that CLD is often associated with impaired health‐related quality of life ( HRQOL ) and uncertainty regarding implications for and outcomes of pregnancy. Primary sclerosing cholangitis ( PSC ) and primary biliary cholangitis ( PBC ) are the most prominent CLD s, both having considerable morbidity and mortality and representing major indications for liver transplantation. These disorders, as a consequence of their complications (eg ascites, hepatic osteodystrophy), associated conditions (eg inflammatory bowel disease) and symptoms (eg pruritus and fatigue), can significantly impair an array of domains of HRQOL . Here we review these impactful clinical aspects of PSC and PBC as well as the topics of fertility and pregnancy.
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Quality of life in PSC is broadly affected both by physical symptoms, especially pruritus, fatigue and IBD-related issues, as well as mental and emotional struggles including depression, anxiety and social isolation.
“clinicians managing people with PSC should understand that their quality of life is broadly affected both by physical symptoms, especially pruritus, fatigue and IBD-related issues, as well as mental and emotional struggles including depression, anxiety and social isolation.463”
From EASL Clinical Practice Guidelines on sclerosing cholangitis (2022) · cites this paper as [463]
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Flagged first, then by citations
Research works printed but not linked: 2
- Wellge BE, Sterneck M, Teufel A, et al. Pregnancy in primary scleros- ing cholangitis. Gut. 2011;60:1117-1121.
- Selmi C, Bowlus CL, Gershwin ME, Coppel RL. Primary biliary cirrho- sis. Lancet. 2011;377:1600-1609.
Cited by
Sorted by citations
EASL Clinical Practice Guidelines on sclerosing cholangitis
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Ranieri, V., Kennedy, E., Walmsley, M., Thorburn, D., & McKay, K. (2020) · PLOS ONE · doi:10.1371/journal.pone.0234624 · Cited by 27 · see citing works
- Authors
- Zakharia, K., Tabibian, A., Lindor, K. D., & Tabibian, J. H.
- Affiliations
- Beaumont Health (US)
- Mayo Clinic (US)
- Olive View-UCLA Medical Center (US)
- Corresponding author
- Lindor, Keith D.
- Venue
- Liver International
- Publisher
- Wiley
- Published
- 2017-10-03
- Volume
- 38
- Issue
- 3
- Pages
- 399-411
- ISSN
- 0106-9543 (ISSN-L)
- 1478-3223
- 1478-3231
- OpenAlex
- W2755334850
- Cited by
- 42
- References
- 148
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 1
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Liver International (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Keywords
- cholestatic liver disease, primary sclerosing cholangitis, primary biliary cirrhosis, health-related quality of life, pregnancy, fertility, complications, pruritus, fatigue, ascites, hepatic osteodystrophy, inflammatory bowel disease, liver transplantation
- MeSH terms
- Fatigue, Female, Humans, Liver Cirrhosis, Biliary, Pregnancy, Pregnancy Outcome, Pruritus, Quality of Life, Cholangitis, Sclerosing
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