Preoperative evaluation of patients with liver disease

Patients with end-stage liver disease often undergo surgery for indications other than liver transplantation. These patients have an increased risk of morbidity and mortality that is related to their underlying liver disease. Assessments of surgical risk provide a basis for discussion of risks and b...

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Published inNature clinical practice. Gastroenterology & hepatology Vol. 4; no. 5; pp. 266 - 276
Main Authors Patel, Tushar, Hanje, A James
Format Journal Article
LanguageEnglish
Published England Nature Publishing Group 01.05.2007
Subjects
Acute Disease
Analysis
Care and treatment
Chronic Disease
Digestive System Surgical Procedures - adverse effects
Humans
Liver diseases
Liver Diseases - physiopathology
Liver Diseases - surgery
Patient outcomes
Postoperative Complications - prevention & control
Preoperative Care
Risk Assessment
Risk factors
Severity of Illness Index
United States
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Abstract Patients with end-stage liver disease often undergo surgery for indications other than liver transplantation. These patients have an increased risk of morbidity and mortality that is related to their underlying liver disease. Assessments of surgical risk provide a basis for discussion of risks and benefits, treatment decision making, and for optimal management of patients for whom surgery is planned. The most useful indicators of surgical risk are indices that predict advanced disease, such as the Child-Turcotte-Pugh score, or those that predict prognosis, such as the Model for End-stage Liver Disease score. Careful preoperative risk assessment, patient selection, and management of various manifestations of advanced disease might decrease morbidity and mortality from nontransplant surgery in patients with liver disease.
AbstractList Patients with end-stage liver disease often undergo surgery for indications other than liver transplantation. These patients have an increased risk of morbidity and mortality that is related to their underlying liver disease. Assessments of surgical risk provide a basis for discussion of risks and benefits, treatment decision making, and for optimal management of patients for whom surgery is planned. The most useful indicators of surgical risk are indices that predict advanced disease, such as the Child-Turcotte-Pugh score, or those that predict prognosis, such as the Model for End-stage Liver Disease score. Careful preoperative risk assessment, patient selection, and management of various manifestations of advanced disease might decrease morbidity and mortality from nontransplant surgery in patients with liver disease.
Audience Academic
Author Hanje, A James
Patel, Tushar
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  surname: Hanje
  fullname: Hanje, A James
  organization: Division of Gastroenterology, Hepatology and Nutrition at The Ohio State University The Ohio State University and Director of Hepatology at The Ohio State University Medical Center
BackLink https://www.ncbi.nlm.nih.gov/pubmed/17476209$$D View this record in MEDLINE/PubMed
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Nat Clin Pract Gastroenterol Hepatol. 2007 Jul;4(7):409
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Snippet Patients with end-stage liver disease often undergo surgery for indications other than liver transplantation. These patients have an increased risk of...
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SubjectTerms Acute Disease
Analysis
Care and treatment
Chronic Disease
Digestive System Surgical Procedures - adverse effects
Humans
Liver diseases
Liver Diseases - physiopathology
Liver Diseases - surgery
Patient outcomes
Postoperative Complications - prevention & control
Preoperative Care
Risk Assessment
Risk factors
Severity of Illness Index
Title Preoperative evaluation of patients with liver disease
URI http://dx.doi.org/10.1038/ncpgasthep0794
https://www.ncbi.nlm.nih.gov/pubmed/17476209
https://www.proquest.com/docview/1788524379
https://search.proquest.com/docview/70450747
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