Liver disease in the young adult: the challenges and rewards

Lancet Gastroenterol Hepatol. 2019 Mar;4(3):248-254. doi: 10.1016/S2468-1253(18)30244-9.

Abstract

Increasing numbers of children are surviving into adulthood with a diagnosis of liver disease or having undergone liver transplantation. This population presents some challenges for the adult hepatologist, and a formal transition service clearly improves outcomes for patients in this group. Evidence of ongoing neurological development in young people up to the age of 25 years exists, and understanding these physiological processes is important in overcoming some of the challenges that caring for this population presents. A well designed transition service is key to maximising potential for these patients, and should enable young people to take control of their illness and achieve their life goals.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Cognition / physiology
  • Continuity of Patient Care
  • Goals
  • Growth and Development / physiology*
  • Humans
  • Liver Diseases / epidemiology*
  • Liver Diseases / surgery
  • Liver Transplantation / methods*
  • Liver Transplantation / trends
  • Outcome Assessment, Health Care
  • Reward
  • Self Care / psychology
  • Transition to Adult Care / standards*
  • Young Adult