Clinical Guideline on Perioperative Management of Patients with Advanced Chronic Liver Disease
Canillas, Lidia (Hospital del Mar (Barcelona, Catalunya))
Pelegrina, Amalia (Hospital del Mar (Barcelona, Catalunya))
Álvarez, Juan (Hospital del Mar (Barcelona, Catalunya))
Colominas-González, Elena (Hospital del Mar (Barcelona, Catalunya))
Salar, Antonio (Hospital del Mar (Barcelona, Catalunya))
Aguilera, Lluís G. (Hospital del Mar (Barcelona, Catalunya))
Burdío, Fernando (Hospital del Mar (Barcelona, Catalunya))
Montes, Antonio (Hospital del Mar (Barcelona, Catalunya))
Grau, Santiago (Hospital del Mar (Barcelona, Catalunya))
Grande, L (Hospital del Mar (Barcelona, Catalunya))
Carrión Rodríguez, José Antonio (Institut Hospital del Mar d'Investigacions Mèdiques)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Patients with advanced chronic liver disease (ACLD) are living longer with more comorbidities because of improved medical and surgical management. However, patients with ACLD are at increased risk of perioperative morbidity and mortality; We conducted a comprehensive review of the literature to support a narrative clinical guideline about the assessment of mortality risk and management of perioperative morbidity in patients with ACLD undergoing surgical procedures; Slight data exist to guide the perioperative management of patients with ACLD, and most recommendations are based on case series and expert opinion. The severity of liver dysfunction, portal hypertension, cardiopulmonary and renal comorbidities, and complexity of surgery and type (elective versus emergent) are predictors of perioperative morbidity and mortality. Expert multidisciplinary teams are necessary to evaluate and manage ACLD before, during, and after surgical procedures; This clinical practice document updates the available data and recommendations to optimize the management of patients with advanced chronic liver disease who undergo surgical procedures.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Hepatic ; Mortality ; Risk ; Surgery
Publicat a:	Life, Vol. 13 (january 2023) , ISSN 2075-1729

DOI: 10.3390/life13010132
PMID: 36676081

26 p, 1.8 MB

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