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Journal of Gastrointestinal Surgery

, Volume 23, Issue 3, pp 634–642 | Cite as

Non-Hepatic Abdominal Surgery in Patients with Cirrhotic Liver Disease

  • Laura Hickman
  • Lauren Tanner
  • John Christein
  • Selwyn VickersEmail author
Evidence-Based Current Surgical Practice

Abstract

Cirrhotic liver disease is an important cause of peri-operative morbidity and mortality in general surgical patients. Early recognition and optimization of liver dysfunction is imperative before any elective surgery. Patients with MELD <12 or classified as Child A have a higher morbidity and mortality than matched controls without liver dysfunction, but are generally safe for elective procedures with appropriate patient education. Patients with MELD >20 or classified as Child C should undergo transplantation before any elective procedure given mortality exceeds 40%. Laparoscopic procedures are feasible and safe in cirrhotic patients.

Keywords

Abdominal surgery Chronic liver disease Cirrhosis Appropriate surgical decision making Postoperative care 

Notes

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Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  1. 1.Department of Surgery, Division of Gastrointestinal SurgeryUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Division of Acute Care SurgeryBirminghamUSA
  3. 3.Dean’s OfficeUAB School of MedicineBirminghamUSA

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