Hepatic Surgery in Patients with Cirrhosis: Mitigating Risk

Jun 27, 2017 by in GASTROENTEROLOGY Comments Off on Hepatic Surgery in Patients with Cirrhosis: Mitigating Risk

Fig. 12.1 Hepatocellular carcinoma treatment algorithm. HCC hepatocellular carcinoma, CTP Child-Turcotte-Pugh, TACE transarterial chemoembolization, PH portal hypertension, Bili bilirubin; Orange outline indicates palliative treatments only Colorectal Liver Metastases While older…

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Cholecystitis, Cholelithiasis, and Cholecystectomy in Cirrhotic Patients

Jun 27, 2017 by in GASTROENTEROLOGY Comments Off on Cholecystitis, Cholelithiasis, and Cholecystectomy in Cirrhotic Patients

© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_10 10. Cholecystitis, Cholelithiasis, and Cholecystectomy in Cirrhotic Patients Kenneth D. Chavin1  , Gabriel R. Chedister2  , Vinayak S. Rohan2   and Arun P. Palanisamy1   (1) Department of Surgery, Case Western…

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Role of Minimally Invasive Surgery in Patients with Cirrhosis

Jun 27, 2017 by in GASTROENTEROLOGY Comments Off on Role of Minimally Invasive Surgery in Patients with Cirrhosis

© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_9 9. Role of Minimally Invasive Surgery in Patients with Cirrhosis Naftali Presser1   and Jeffery L. Ponsky2, 3   (1) Department of General Surgery,…

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Perioperative Critical Care of the Patient with Liver Disease Undergoing Nonhepatic Surgery

Jun 27, 2017 by in GASTROENTEROLOGY Comments Off on Perioperative Critical Care of the Patient with Liver Disease Undergoing Nonhepatic Surgery

© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_8 8. Perioperative Critical Care of the Patient with Liver Disease Undergoing Nonhepatic Surgery David J. Kramer1, 2   (1) Aurora Critical Care…

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Anesthesia for Surgical Procedures in Cirrhotic Patients Other than Liver Transplantation: Management, Concerns, and Pitfalls

Jun 27, 2017 by in GASTROENTEROLOGY Comments Off on Anesthesia for Surgical Procedures in Cirrhotic Patients Other than Liver Transplantation: Management, Concerns, and Pitfalls

Diagnosis Screening method Perioperative consequences Cirrhotic cardiomyopathy (CCM) Echocardiography assessment of LV diastolic function Congestive heart failurea Hepatopulmonary syndrome (HPS) Room air hypoxemia (PaO2 <70 mmHg) in the absence of…

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Coagulopathy in Cirrhosis

Jun 27, 2017 by in GASTROENTEROLOGY Comments Off on Coagulopathy in Cirrhosis

Phase of hemostasis Promote hemostasis Impair hemostasis Primary hemostasis (platelet activation) Increased VWF Decreased ADAMTS-13 Thrombocytopenia Secondary hemostasis (thrombin generation) Decreased protein C and S Decreased antithrombin III Increased factor…

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