AISF position paper on liver disease and pregnancy

Filomena Morisco, Raffaele Bruno, Elisabetta Bugianesi, Patrizia Burra, Vincenza Calvaruso, Alice Cannoni, Nicola Caporaso, Gian Paolo Caviglia, Alessia Ciancio, Silvia Fargion, Alessandro Federico, Annarosa Floreani, Giovanni Battista Gaeta, Maria Guarino, Pietro Invernizzi, Anna Licata, Carmela Loguercio, Giuseppe Mazzella, Felice Petraglia, Massimo PrimignaniKryssia Rodriguez-Castro, Antonina Smedile, Luca Valenti, Ester Vannic, Silvia Vannuccini, Chiara Voltolini, Erica Villao

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

The relationship between liver disease and pregnancy is of great clinical impact. Severe liver disease in pregnancy is rare; however, pregnancy-related liver disease is the most frequent cause of liver dysfunction during pregnancy and represents a severe threat to foetal and maternal survival. A rapid differential diagnosis between liver disease related or unrelated to pregnancy is required in women who present with liver dysfunction during pregnancy. This report summarizes the recommendation of an expert panel established by the Italian Association for the Study of the Liver (AISF) on the management of liver disease during pregnancy. The article provides an overview of liver disease occurring in pregnancy, an update on the key mechanisms involved in its pathogenesis, and an assessment of the available treatment options. The report contains in three sections: (1) specific liver diseases of pregnancy; (2) liver disease occurring during pregnancy; and (3) pregnancy in patients with pre-existing chronic liver disease. Each topic is discussed considering the most relevant data available in literature; the final statements are formulated according to both scientific evidence and clinical expertise of the involved physicians, and the AISF expert panel recommendations are reported.

Original languageEnglish (US)
Pages (from-to)120-137
Number of pages18
JournalDigestive and Liver Disease
Volume48
Issue number2
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Keywords

  • Liver diseases
  • Pregnancy

ASJC Scopus subject areas

  • Medicine(all)
  • Hepatology
  • Gastroenterology

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    Morisco, F., Bruno, R., Bugianesi, E., Burra, P., Calvaruso, V., Cannoni, A., Caporaso, N., Caviglia, G. P., Ciancio, A., Fargion, S., Federico, A., Floreani, A., Gaeta, G. B., Guarino, M., Invernizzi, P., Licata, A., Loguercio, C., Mazzella, G., Petraglia, F., ... Villao, E. (2016). AISF position paper on liver disease and pregnancy. Digestive and Liver Disease, 48(2), 120-137. https://doi.org/10.1016/j.dld.2015.11.004