TY - CHAP M1 - Book, Section TI - Chapter 53. Preoperative Evaluation of Liver Disease A1 - Qamar, Amir A. A1 - Grace, Norman D. A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Brotman, Daniel J. A2 - Ginsberg, Jeffrey S. PY - 2012 T2 - Principles and Practice of Hospital Medicine AB - Evaluation of patients with liver disease prior to surgery is crucial to estimating perioperative morbidity and mortality and to improving outcomes. The operative risk of liver disease can be related to the rapid changes in liver function that can occur in acute hepatitis or can be related to chronic complications of portal hypertension and parenchymal liver disease in patients with cirrhosis. Therefore, establishment of a risk profile should be based on the etiology of the underlying liver disease and the degree of hepatic decompensation associated with the presence of cirrhosis and portal hypertension. This chapter explains how to assess and prepare patients with liver disease for surgery and provides a framework for predicting operative morbidity and mortality. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/24 UR - accessmedicine.mhmedical.com/content.aspx?aid=56194689 ER -