title: Colorectal surgery in cirrhotic patients.
abstract: Patients with cirrhosis have a greater risk of morbidity and mortality following colorectal surgery. Therefore, preoperative medical optimization and risk assessment using criteria such as the MELD score are vital in preventing complications. Some risk factors include age, urgency of surgery, and ASA score. Postoperative morbidity and mortality are related to portal hypertension, ascites, infection, and anastomotic and stomal complications. This review highlights the assessment of risk and perioperative management of cirrhotic patients undergoing colorectal surgery.
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
authors.forename: Jacqueline
authors.identifier: 0000-0002-8760-5154
authors.initials: J
authors.lastname: Paolino
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, P.O. Box 1259, One Gustave L. Levy Place, New York, NY 10029, USA.
authors.forename: Randolph M
authors.initials: RM
authors.lastname: Steinhagen
mesh_terms: D003107:Colorectal Surgery / Q000009:adverse effects*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D009017:Morbidity; D009026:Mortality; D019990:Perioperative Care; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D011379:Prognosis; D012720:Severity of Illness Index