Nadir Abbas, Jonathan Fallowfield, David Patch, Adrian J Stanley, Raj Mookerjee, Emmanouil Tsochatzis, Joanna A Leithead, Peter Hayes, Abhishek Chauhan, Vikram Sharma, Neil Rajoriya, Simon Bach, Thomas Faulkner, Dhiraj Tripathi
As a result of the increasing incidence of cirrhosis in the UK, more patients with chronic liver disease are being considered for elective non-hepatic surgery. A historical reluctance to offer surgery to such patients stems from general perceptions of poor postoperative outcomes. While this is true for those with decompensated cirrhosis, selected patients with compensated early-stage cirrhosis can have good outcomes after careful risk assessment. Well-recognised risks include those of general anaesthesia, bleeding, infections, impaired wound healing, acute kidney injury and cardiovascular compromise...
2023: Frontline Gastroenterology