Hepatology Guidelines

• Assessment and Management of Oesophageal Varices in Children 

  Introduction

• Joint Guideline of the Children’s Specialised Liver Services at King’s, Birmingham, and Leeds

  These guidelines were constructed after a joint audit and review of practice at the three specialised centres in June 2016 and reviewed again in 2021.  Although evidence based where possible, where not available they represent consensus.  A detailed version of this guideline which includes review of evidence, together with reference to adult evidenced based guidelines is available.  Section 4: management of acute variceal bleed: is designed for implementation at any hospital to which a child presents and can be used as a stand-alone guideline.

• UK Fatty Liver Guidelines August 2020 These guidelines were constructed after a joint audit and review at the three specialised paediatric hepatology centres.
• Updated shielding guidance for children with chronic liver disease and those on immunosuppression (autoimmune and liver transplantation) 5th July 2020   Update 27th July 2020:  These guidelines will be updated in due course and in line with government and PHE policy.
• Investigation and treatment of liver disease with acute onset

  2013 Guidelines under review and will be updated shortly.

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• NICE and ESPGHAN Guidelines

  The following guidelines and standards have been published by NICE and ESPGHAN and are available for information. However, please do not hesitate to contact your local Paediatric Hepatology Team to discuss management of a child with any liver disorder:

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• Investigation of Neonatal Conjugated Hyperbilirubinaemia
  Updated December 2016
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