What therapeutic intervention provides the best chance of survival for a child with cirrhosis?
a. Nutritional support
b. Liver transplantation
c. Blood component therapy
d. Treatment with corticosteroids
ANS: B
The only successful treatment for end-stage liver disease and liver failure may be liver transplantation, which has improved the prognosis for many children with cirrhosis. Liver transplantation reflects the failure of other medical and surgical measures to prevent or treat cirrhosis. Nutritional support is necessary for the child with cirrhosis, but it does not stop the progression of the disease. Blood components are indicated when the liver can no longer produce clotting factors. It is supportive therapy, not curative. Corticosteroids are not used in end-stage liver disease.
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