American Association for the Study of Liver Diseases and Asian Pacific Association for the Study of the Liver Joint Symposium: Acute-on-Chronic Liver Failure—Contrasting Perspectives From the East and West

Description

Acute-on-chronic liver failure (ACLF) is the focus of this joint symposium from AASLD and the Asian Pacific Association for the Study of the Liver (APASL). ACLF is a complex syndrome characterized by acute hepatic decompensation in the setting of chronic liver disease leading to multiorgan failure and high short-term mortality. However, the definition, classification, and management strategies for ACLF vary significantly between APASL and AASLD guidelines. The program begins with an in-depth exploration of ACLF definitions as per APASL and AASLD, highlighting key clinical differences via case-based presentations. Expert discussions follow focusing on management strategies from both AASLD and APASL perspectives. While AASLD emphasizes early liver transplantation and intensive care, APASL advocates for aggressive medical management, including liver regeneration therapies. Understanding these distinct approaches is crucial for optimizing patient care, particularly in resource-limited settings.

Presentations

11:00 AM - 11:15 AM
Nov 09 2025
San Diego, CA

When Sepsis Strikes: Applying American Association for the Study of Liver Diseases Criteria to a Critically Ill Patient With Cirrhosis

Florence Wong, MD, FAASLD, Presenter
Acute-on-Chronic Liver Failure
11:15 AM - 11:30 AM
Nov 09 2025
San Diego, CA

Turning the Tide: Asian Pacific Association for the Study of the Liver Driven Management in Hepatitis B-Related Acute-on-Chronic Liver Failure

Qin Ning, MD, PhD, Presenter
Acute-on-Chronic Liver Failure
11:30 AM - 11:45 AM
Nov 09 2025
San Diego, CA

Bridging to Transplant: Navigating Acute-on-Chronic Liver Failure Management Through the American Association for the Study of Liver Diseases Lens

Jacqueline O'Leary, MD, MPH, Presenter
Acute-on-Chronic Liver Failure
11:45 AM - 12:00 PM
Nov 09 2025
San Diego, CA

A Collapse: Diagnosing Acute-on-Chronic Liver Failure in a Patient With Hepatitis B Using Asian Pacific Association for the Study of the Liver Criteria

Shiv Kumar Sarin, MD, FAASLD, Presenter
Acute-on-Chronic Liver Failure

Objectives

  • Define acute-on-chronic liver failure (ACLF) using the Asian Pacific Association for the Study of the Liver (APASL) and AASLD criteria and the clinical implications of these definitions.
  • Compare and contrast the definitions and diagnostic criteria of ACLF set forth by APASL and AASLD.
  • Differentiate management strategies based on the AASLD and APASL perspectives, including the approach to organ failure assessment, prognostic models, and treatment strategies.
  • Analyze the impact of these differing criteria on patient outcomes, clinical decision-making, and liver transplantation eligibility.
Chair

Necati Ormeci, Prof

İstanbul Health and Technology University