Anesthesia for a long-term anorexic patient with end-stage liver cirrhosis : A Case Report

Recent advancements in intensive care have increased the number of severe anorexia nervosa patients presenting for surgery. We provided anesthesia to a patient who had a 22-year history of anorexia with life-threatening cirrhosis. Although surgery should be avoided in patients with end-stage cirrhos...

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Bibliographic Details
Published inThe Journal of Medical Investigation Vol. 66; no. 3.4; pp. 337 - 339
Main Authors Hirose, Kayo, Ogura, Makoto, Yamada, Yoshitsugu
Format Journal Article
LanguageEnglish
Published The University of Tokushima Faculty of Medicine 2019
Subjects
anesthesia
anorexia
end-stage liver cirrhosis
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Summary:Recent advancements in intensive care have increased the number of severe anorexia nervosa patients presenting for surgery. We provided anesthesia to a patient who had a 22-year history of anorexia with life-threatening cirrhosis. Although surgery should be avoided in patients with end-stage cirrhosis, she was in the best preoperative optimized condition compared to her condition over the past few years. Potential complications are heart failure easily caused by deterioration of cirrhosis, lethal arrhythmias related to electrolyte disturbances and increased myocardial sensitivity to drugs, and refeeding syndrome in the postoperative period. The several rare events that we experienced are worth reporting. J. Med. Invest. 66 : 337-339, August, 2019
ISSN:1343-1420
1349-6867
DOI:10.2152/jmi.66.337