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Publication Name World Journal of Critical Care Medicine
Manuscript ID 124862
DOI 10.5492/wjccm.124862
Country United States
Category Gastroenterology & Hepatology
Manuscript Type Review
Article Title Acute-on-chronic liver failure: A comprehensive review
Manuscript Source Invited Manuscript
All Author List Athish Kannan Karur, Gayathri Gururamalingam, Keerat Kaur, Mariam Alamgir, Carol Singh and Aalam Sohal
Funding Agency and Grant Number
Corresponding Author Aalam Sohal, Academic Fellow, Division of Gastroenterology and Hepatology, Creighton University School of Medicine - Phoenix Health Sciences Campus, 3100 N Central Ave Phoenix, AZ 85012, Phoenix, AZ 85012, United States. aalamsohal@gmail.com
Key Words Acute-on-chronic liver failure; Cirrhosis; Organ failure; Systemic inflammation; Critical care
Core Tip Acute-on-chronic liver failure is characterized by multiorgan dysfunction among patients with chronic liver disease and is preceded by events such as excessive alcohol use, infections, hepatotoxic medications, and surgery. Recent evidence also emphasizes the role of gut-liver microbiota dysbiosis and cytokine storm-mediated contributions that can lead to disease progression. Prompt understanding and treatment of the condition can help tailor management strategies including timely withdrawal of the precipitating factors and treatment of the underlying infections for improving the clinical outcomes and reducing the need for liver transplantation.
Citation Karur AK, Gururamalingam G, Kaur K, Alamgir M, Singh C, Sohal A. Acute-on-chronic liver failure: A comprehensive review. World J Crit Care Med 2026; In press
PDF 124862-in-press.pdf
Received
2026-06-25 02:25
Peer-Review Started
2026-06-25 02:26
First Decision by Editorial Office Director
Return for Revision
2026-07-22 04:58
Revised
2026-08-03 04:20
Publication Fee Transferred
Second Decision by Editor
2026-08-27 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-08-28 10:23
Articles in Press
2026-08-28 10:23
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2220-3141(online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com