Surgical Risk Assessment in Patients with Chronic Liver Diseases

Jadaun, Shekhar Singh; Saigal, Sanjiv

doi:10.1016/j.jceh.2022.03.004

Cited by 11 publications

(4 citation statements)

References 81 publications

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“…A notable growth in the global burden of liver disease and advancements in its management means that the expected population of those with liver disease that undergo surgery has also grown. 3 , 10 , 21 Our data revealed that the patients with APRI indicative of liver damage were more likely to be associated with male gender, of ASA classification ≥3, and diagnosed with diabetes and bleeding disorders. These findings support the literature, in which men have a higher incidence of cirrhosis and common causes of liver damage such as nonalcoholic fatty liver disease.…”

Section: Discussionmentioning

confidence: 70%

Increased preoperative aspartate aminotransferase-to-platelet ratio index predicts complications following total shoulder arthroplasty

Liu,

Cerri-Droz,

Ling

et al. 2023

JSES International

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Section: Discussionmentioning

confidence: 70%

Increased preoperative aspartate aminotransferase-to-platelet ratio index predicts complications following total shoulder arthroplasty

Liu,

Cerri-Droz,

Ling

et al. 2023

JSES International

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“…They are at high risk of developing drug-induced liver damage, renal dysfunction, and post-operative liver decompensation. Studied cases with CLD who are scheduled for elective and semielective surgery should have thorough preoperative risk evaluation (5) .…”

Section: Resultsmentioning

confidence: 99%

Risk Stratification in Cirrhotic Patients with Emergent Surgery

Ahmed¹,

Elfauomy²,

Elzohry³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Patients with liver disease have a unique pathophysiology that results in the need for a specialized evaluation before undergoing any surgical procedure. The objective of the present study was to assess different risk scores for highrisk cirrhotic patients. Patients and methods: We evaluated 115 cirrhotic patients in an Emergency Department, of the National Liver Institute, Menoufia University, using MELD, PALBI, ALBI, MELD Na scores. The studied cases had different presentations; 79 patients with strangulated umbilical hernia with bowel loops, 29 patients with intestinal ischemia from acute mesenteric vascular occlusion managed by surgical explorations, and 7 patients with secondary peritonitis from neglected spontaneous bacterial peritonitis. All participants signed an informed written consent.

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“…CTP and MELD are the most used systems for determination of severity of liver cirrhosis [31]. Within the CTP, the determination of ascites and hepatic encephalopathy may be subjective and inconsistent (e.g.…”

Section: Discussionmentioning

confidence: 99%

Colorectal Surgery in Patients with Liver Cirrhosis: A Systematic Review

Tan

Theophilus

2023

World j. surg.

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Background Colorectal surgery in patients with liver cirrhosis poses a significant challenge due to the associated peri-operative morbidity and mortality risks. The aim of this systematic review was to evaluate the outcomes in this cohort of patients following colorectal surgery. Methods The PubMed, Embase and Cochrane databases and references were searched up to October 2022 using the PRISMA guidelines. The data collated included: patient demographics, pathology or type of colorectal operation performed, severity of liver cirrhosis, post-operative complication rates, mortality rates and prognostic factors. A quality assessment of included studies was performed with the Newcastle-Ottawa scale.Results Sixteen studies reporting the outcomes of colorectal surgery in patients with liver cirrhosis were identified, including the results of 8646 patients. The indications, pathologies and/or type of operations varied. The overall complication rate ranged from 29 to 75%, minor complication ranged 14.5-37% and major complication ranged 6.7-59.3%. The mortality rates ranged from 0 to 37%. Conclusion Colorectal surgery in patients with liver cirrhosis still carries considerable morbidity and mortality rates. This group of patients needs to be managed in a multidisciplinary setting to achieve excellent outcomes. Future research should focus on uniform definitions to enable interpretable outcomes.

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Surgical Risk Assessment in Patients with Chronic Liver Diseases

Cited by 11 publications

References 81 publications

Increased preoperative aspartate aminotransferase-to-platelet ratio index predicts complications following total shoulder arthroplasty

Increased preoperative aspartate aminotransferase-to-platelet ratio index predicts complications following total shoulder arthroplasty

Risk Stratification in Cirrhotic Patients with Emergent Surgery

Colorectal Surgery in Patients with Liver Cirrhosis: A Systematic Review

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