New Therapies of Liver Diseases

• Other Authors: Toniutto, Pierluigi (Editor)
• Format: Electronic Book Chapter
• Language: English
• Published: Basel MDPI - Multidisciplinary Digital Publishing Institute 2022
• Subjects: Public health & preventive medicine; tolvaptan; cirrhotic ascites; survival rate; furosemide; primary biliary cholangitis; autoantibodies; ursodeoxycholic acid; treatment response; second line therapy; primary biliary cholangitis (PBC); primary sclerosing cholangitis (PSC); clinical trials; ursodeoxycholic acid (UDCA); Farnesoid X Receptor (FXR) agonist; Pan-Peroxisome Proliferator-Activated Receptor (PPAR) agonists; liver cancer; systemic treatment; immunotherapy; real-world; unresectable hepatocellular carcinoma; cirrhosis; decompensation; bleeding; varices; survival; infection; alcoholic hepatitis; acute-on-chronic liver failure; cholangiocarcinoma; colorectal cancer metastases; hepatocellular carcinoma; liver transplantation; Milan criteria; alpha-fetoprotein; solid organ transplantation; liver injury; immunosuppressant; SARS-CoV-2; humoral response; vaccination; portal-systemic shunt; ammonia; vigilance; HBV; HDV; antivirals; functional cure; pharmacology; acute-on-chronic liver failure (ACLF); liver transplantation (LT); decompensated cirrhosis; portal hypertension; ascites; non-selective beta-blockers; TIPS; rifaximin; human albumin; statins; targeted therapy; effective hypovolemia; anti-mineralocorticoids; loop diuretics; vaptans; n/a
• Online Access: DOAB: download the publication; DOAB: description of the publication

In this Special Issue of the journal, advancements in the treatment of liver diseases are illustrated by international experts in the field. New treatment options for primary biliary cirrhosis and, hopefully, primary sclerosing cholangitis are discussed. Up-to-date pharmacological therapy for preventing liver cirrhosis decompensation and treating acute-on-chronic liver failure is highlighted. Furthermore, new treatments for cholangiocarcinoma, based on biological and tissue markers, will be available in the near future, aiming to surpass the current unsatisfactory results of traditional therapies. Immunotherapy has been applied to hepatocellular carcinoma (HCC). The new first-line treatment, combining atezolizumab plus bevacizumab for HCC in the intermediate and advanced stages, will allow for an increase in patient survival in the near future. Liver transplantation (LT) remains the preferred treatment for many patients with end-stage liver diseases and HCC. The selection criteria for LT in patients with HCC moved from morphological to dynamic criteria, such as those derived from the assessment of tumor responses to locoregional and/or systemic treatments before transplantation. This allowed many patients who would have been excluded from a transplantation with the old selection criteria to access one. Finally, a very interesting issue regarding new indications for liver transplantation is illustrated.