Preoperative Management of Patients with Liver Disease

“…Approximately 10% of cirrhotic patients will undergo surgery during the last two years of their life. 3 Because malnutrition, impaired immunity, coagulopathy, and metabolic bone disease often develop secondary to liver cirrhosis, these patients are at increased risk of complications following major orthopedic surgery, such as total hip replacement. [4][5][6] Ziser et al reviewed 733 cirrhotic patients undergoing any type of surgical procedure and reported a perioperative total complica-tion rate of 30.1%.…”

Section: Introductionmentioning

confidence: 99%

Prosthetic hip infection in patients with liver cirrhosis: an outcome analysis

Hsieh

Ueng

Lee

et al. 2010

International Journal of Infectious Diseases

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Liver cirrhosis is a common co-morbidity in patients with PHI treated at our institution. DWROP should be considered only when there is no sinus tract and the duration of symptoms is very short (less than 10 days). EA is an effective procedure to cure infection. However, reimplantation of hip prosthesis in these patients carries a high risk of infection recurrence, especially in those who develop hepatic decompensation.

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“…It has been estimated that about 10% of patients with cirrhosis will undergo surgery in the last 2 years of their life [2] . General anesthesia and surgery…”

Section: Introductionmentioning

confidence: 99%

Outcomes of patients with cirrhosis undergoing non-hepatic surgery: Risk assessment and management

Millwala

Nguyen²,

Thuluvath

2007

WJG

117

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The reported mortality rates in patients with cirrhosis undergoing various non-transplant surgical procedures range from 8.3% to 25%. This wide range of mortality rates is related to severity of liver disease, type of surgery, demographics of patient population, expertise of the surgical, anesthesia and intensive care unit team and finally, reporting bias. In this article, we will review the pathophysiology, morbidity and mortality associated with non-hepatic surgery in patients with cirrhosis, and then recommend an algorithm for risk assessment and evidence based management strategy to optimize postsurgical outcomes. © 2007 WJG . All rights reserved.Key words: P r e -ope r at ive r is k as s e s s me nt ; Ris k stratification; Cirrhosis; Model for end-stage liver disease; Non-transplant surgery; Outcomes Millwala F, Nguyen GC, Thuluvath PJ. Outcomes of patients with cirrhosis undergoing non-hepatic surgery: Risk assessment and management. World J Gastroenterol 2007; 13(30): 4056-4063

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Preoperative Management of Patients with Liver Disease

Cited by 32 publications

References 34 publications

Assessment of risk for non-hepatic surgery in cirrhotic patients

Assessment of risk for non-hepatic surgery in cirrhotic patients

Prosthetic hip infection in patients with liver cirrhosis: an outcome analysis

Outcomes of patients with cirrhosis undergoing non-hepatic surgery: Risk assessment and management

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