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, Amalia
- 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 Rodríguez, José Antonio
- dc.date.accessioned 2023-03-21T07:08:42Z
- dc.date.available 2023-03-21T07:08:42Z
- dc.date.issued 2023
- 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.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.doi http://dx.doi.org/10.3390/life13010132
- dc.identifier.issn 2075-1729
- dc.identifier.uri http://hdl.handle.net/10230/56301
- 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.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Hepatic
- dc.subject.keyword Surgery
- dc.subject.keyword Mortality
- dc.subject.keyword Risk
- dc.title Clinical guideline on perioperative management of patients with advanced chronic liver disease
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion