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

被引：84

作者：

Millwala, Farida ^{[1
]}

Nguyen, Geoffrey C. ^{[1
]}

Thuluvath, Paul J. ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Sect Hepatol, Baltimore, MD 21205 USA

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2007年 / 13卷 / 30期

关键词：

pre-operative risk assessment; risk stratification; cirrhosis; model for end-stage liver disease; non-transplant surgery; outcomes;

D O I：

10.3748/wjg.v13.i30.4056

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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 post-surgical outcomes. (c) 2007 WJG. All rights reserved.

引用

页码：4056 / 4063

页数：8

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