[Surgical risk for patients with liver disease].
Liver disease increases surgical risk. Thus, in patients with cirrhosis, the mortality after abdominal or heart surgery is 50-75% in Child-Pugh C, 20-30% in B and near normal in Child-Pugh A. Stable autoimmune hepatobiliary disease and steatosis without inflammation do not increase surgical risk, but the mortality after major abdominal surgery is increased in patients with fulminant hepatic failure (>90%), alcoholic hepatitis (50%) and acute viral hepatitis (10-15%).
Jepsen
Peter
P
Arhus Universitetshospital, Arhus Sygehus, Klinisk Epidemiologisk Afdeling, Arhus C. pj@dce.au.dk
Sørensen
Henrik Toft
HT
Vilstrup
Hendrik
H
Ott
Peter
P
D017558:Elective Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D005767:Gastrointestinal Diseases / Q000601:surgery; D006331:Heart Diseases / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000401:mortality / Q000517:prevention & control; D008103:Liver Cirrhosis / Q000150:complications / Q000503:physiopathology; D008107:Liver Diseases / Q000150:complications* / Q000503:physiopathology; D017114:Liver Failure, Acute / Q000150:complications / Q000503:physiopathology; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000009:adverse effects* / Q000401:mortality