Clinical Guideline on Perioperative Management of Patients with Advanced Chronic Liver Disease

L Grande, Lidia Canillas, Amalia Pelegrina, Juan Álvarez, Elena Colominas-González, Antonio Salar, Lluís G. Aguilera, Fernando Burdío, Antonio Montes, Santiago Grau

Producció científica: Contribució a una revistaArticle de revisióRecercaAvaluat per experts

9 Cites (Scopus)


Patients with advanced chronic liver disease (ACLD) are living longer with more comorbidities because of improved medical and surgical management. However, patients with ACLD are at increased risk of perioperative morbidity and mortality; We conducted a comprehensive review of the literature to support a narrative clinical guideline about the assessment of mortality risk and management of perioperative morbidity in patients with ACLD undergoing surgical procedures; Slight data exist to guide the perioperative management of patients with ACLD, and most recommendations are based on case series and expert opinion. The severity of liver dysfunction, portal hypertension, cardiopulmonary and renal comorbidities, and complexity of surgery and type (elective versus emergent) are predictors of perioperative morbidity and mortality. Expert multidisciplinary teams are necessary to evaluate and manage ACLD before, during, and after surgical procedures; This clinical practice document updates the available data and recommendations to optimize the management of patients with advanced chronic liver disease who undergo surgical procedures.
Idioma originalEnglish
Número d’article132
Estat de la publicacióPublicada - 3 de gen. 2023


Navegar pels temes de recerca de 'Clinical Guideline on Perioperative Management of Patients with Advanced Chronic Liver Disease'. Junts formen un fingerprint únic.

Com citar-ho