Cystic fibrosis hepatobiliary involvement (CFHBI) occurs in up to 90% of people with cystic fibrosis. Advanced cystic fibrosis liver disease is present in approximately 10% of people with cystic fibrosis. CFHBI is the third leading cause of morbidity and mortality in people with cystic fibrosis; early diagnosis and surveillance for disease progression are essential to optimize patient outcomes. Experts conducting this session review the current guidelines for monitoring CFHBI; the algorithm of care related to cystic fibrosis transmembrane conductance regulator protein modulator therapy hepatotoxicity; and the diagnositic and therapeutic options for managing advanced cystic fibrosis liver disease.
List biomarkers and imaging modalities to monitor cystic fibrosis-related hepatobiliary involvement, including the strengths and limitations of these screening tools.
Review novel diagnostic tools and therapeutic interventions to manage advanced cystic fibrosis liver disease.
Discuss management strategies for hepatoxicity due to cystic fibrosis transmembrane conductance regulator protein modulator therapy.