Operationsrisiko bei chronischen Lebererkrankungen View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-02-25

AUTHORS

Christian Müller

ABSTRACT

Elevated “liver function tests” are often seen in patients undergoing surgery. Very often the significance of this finding is unclear and the urgency of a diagnostic work-up depends on the context of presentation and planned operative procedure. Elevation of one liver function test is most often not significant, while elevation of several liver function tests should prompt a diagnostic work-up for chronic viral hepatitis and a morphologic examination of the liver and gall duct by ultrasound. Patients with chronic liver disease without liver cirrhosis and patients with liver cirrhosis Child–Pugh A class do not have an increased operative risk, whereas the operative risk of Child–Pugh C cirrhosis is substantial and usually seen as a contraindication for elective surgery in those patients. Operations in patients with Child–Pugh B cirrhosis can be performed but require meticulous peri- and postoperative observation and intensive management. More... »

PAGES

18-24

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s41971-019-0045-2

DOI

http://dx.doi.org/10.1007/s41971-019-0045-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112386585


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