Surgical clearance for the patient with chronic liver disease.

Journal Article (Journal Article;Review)

Patients with chronic liver disease face greater risk of perioperative morbidity and mortality, with the greatest risk among patients with cirrhosis. Both the Child-Pugh score and the Model for End-Stage Liver Disease have been evaluated as predictors of postoperative mortality. Other comorbidities, age, and American Society of Anesthesiologists physical status classification are also important predictors of these outcomes. In patients with liver disease, elective surgeries should be delayed to allow complete evaluation of the severity of liver disease, including the role of transplantation in the event of hepatic decompensation postoperatively.

Full Text

Duke Authors

Cited Authors

  • Muir, AJ

Published Date

  • May 2012

Published In

Volume / Issue

  • 16 / 2

Start / End Page

  • 421 - 433

PubMed ID

  • 22541707

Electronic International Standard Serial Number (EISSN)

  • 1557-8224

Digital Object Identifier (DOI)

  • 10.1016/j.cld.2012.03.008


  • eng

Conference Location

  • United States