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Clinical guideline on perioperative management of patients with advanced chronic liver disease

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dc.contributor.author Canillas, Lidia
dc.contributor.author Pelegrina-Manzano, A.
dc.contributor.author Álvarez, Juan C.
dc.contributor.author Colominas-González, Elena
dc.contributor.author Salar, Antonio
dc.contributor.author Aguilera, Lluís G.
dc.contributor.author Burdío Pinilla, Fernando
dc.contributor.author Montes, Antonio
dc.contributor.author Grau, Santiago
dc.contributor.author Grande, Luís
dc.contributor.author Carrión, José A.
dc.date.accessioned 2023-03-21T07:08:42Z
dc.date.available 2023-03-21T07:08:42Z
dc.date.issued 2023
dc.identifier.citation Canillas L, Pelegrina A, Álvarez J, Colominas-González E, Salar A, Aguilera L, et al. Clinical guideline on perioperative management of patients with advanced chronic liver disease. Life. 2023 Jan;13(1):132. DOI: 10.3390/life13010132
dc.identifier.issn 2075-1729
dc.identifier.uri http://hdl.handle.net/10230/56301
dc.description.abstract (1) Background: 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; (2) Methods: 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; (3) Results: 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; (4) Conclusions: 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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Life. 2023 Jan;13(1):132
dc.rights © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Clinical guideline on perioperative management of patients with advanced chronic liver disease
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/life13010132
dc.subject.keyword Hepatic
dc.subject.keyword Surgery
dc.subject.keyword Mortality
dc.subject.keyword Risk
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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