RT Book, Section
A1 Qamar, Amir A.
A1 Grace, Norman D.
A2 McKean, Sylvia C.
A2 Ross, John J.
A2 Dressler, Daniel D.
A2 Scheurer, Danielle B.
SR Print(0)
ID 1137608239
T1 Preoperative Evaluation of Liver Disease
T2 Principles and Practice of Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843133
LK accessmedicine.mhmedical.com/content.aspx?aid=1137608239
RD 2023/03/24
AB Many  hospitalists  will  be  asked  to  assess  the  operative  risk  of  patients  who  have  acute  or  chronic  liver  disease.  The  following  chapter  outlines  an  assessment  plan  and  a  basis  for  predicting  operative  morbidity  and  mortality.  Evaluation  of  patients  with  liver  disease  prior  to  surgery  is  crucial  to  estimate  perioperative  morbidity  and  mortality.  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,  the  degree  of  hepatic  decompensation  associated  with  the  presence  of  cirrhosis  and  portal  hypertension,  and  the  type  of  surgery  the  patient  is  undergoing.