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What is end-stage liver disease in the elderly?

End-stage liver disease (ESLD) is the final, irreversible phase of chronic liver disease, often the culmination of decades of damage. In the elderly, while the underlying causes are similar to younger populations, the presentation can be complicated by co-existing health conditions, reduced physiological reserve, and unique care challenges. For many older adults, the focus shifts from cure to managing symptoms and maximizing quality of life through comprehensive palliative care.