alexa Perioperative Risk Assessment and Management of Cirrhot
ISSN: 2475-3181

Journal of Hepatology and Gastrointestinal disorders
Open Access

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Research Article

Perioperative Risk Assessment and Management of Cirrhotic Patients

Andrew L. Simmelink1, Ray Dong2, Vipul Nayi3, Edward Yang4, Michael Ryan5 and David A Johnson5*

1Department of Internal Medicine, Carolinas Medical Center Program, Charlotte, NC, USA

2Department of Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

3Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine Program, Bronx, NY, USA

4Department of Internal Medicine, University of Texas Southwestern Medical School Program, Dallas, TX, USA

5Division of Gastroenterology, Eastern Virginia Medical School, Norfolk, VA, USA

Corresponding Author:
David A Johnson
Professor of Medicine;
Chief, Division of Gastroenterology;
Eastern Virginia Medical School;
Norfolk, VA, USA;
E-mail: [email protected]

Received Date: October 19, 2015 Accepted Date: November 17, 2015 Published Date: November 24, 2015

Citation: Simmelink AL, Dong R, Nayi V, Yang E, Ryan M, et al. (2015) Perioperative Risk Assessment and Management of Cirrhotic Patients. J Hepatol Gastroint Dis 1:101. doi:10.4172/2475-3181.1000101

Copyright: © 2015 Simmelink AL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Liver cirrhosis is an important risk factor for morbidity and mortality in any type of surgical procedure. For these patients, a distinct and tailored patient optimization approach prior to surgery is required in order to best risk mitigate towards avoiding decompensation and related complications, especially with the chronicity of this disease. This review is to enhance understanding of surgical risks in these patients in selecting patients for elective surgery, or managing those following emergency surgery.

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