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Surgical procedures on the cirrhotic patient

Author: Bijan Eghtesad; John Fung
Publisher: Cham, Switzerland : Springer, 2017.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
This volume provides a concise yet comprehensive overview on surgical procedures performed on the cirrhotic patient. The text explains the underlying pathophysiologic alterations in liver disease and cirrhosis, provides assessment of disease severity and risk factors, and helps to predict potential outcomes based on the nature of the operation. Operations discussed in detail include bariatric surgery, colorectal  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Print version:
Surgical procedures on the cirrhotic patient.
Cham, Switzerland : Springer, 2017
(OCoLC)966551640
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Bijan Eghtesad; John Fung
ISBN: 9783319523965 3319523961
OCLC Number: 984992684
Notes: Includes index.
Description: 1 online resource (xviii, 352 pages) : illustrations (some color)
Contents: Foreword; Preface; Contents; Contributors; Chapter 1: Pathophysiology of€Cirrhosis and€Portal Hypertension; Introduction; Liver Histology; Hepatocytes; Liver Sinusoidal Endothelial Cells; Kupffer Cells; Stellate Cells (Ito Cells); Outcome of€Activated Stellate Cells; Definition and€Classification of€Portal Hypertension; Intrahepatic Changes; Increased Intrahepatic Resistance; Intrahepatic Angiogenesis; Intrahepatic Microthrombosis; Extrahepatic Changes; Extrahepatic Arteriolar Vasodilation; Collateral Blood Vessel Formation; Splenomegaly and€Increased Spleen Stiffness. Role of€Bacterial Translocation Role of€Portal Hypertension in€Development of€Common Complications of€Cirrhosis (Varices, Ascites, and€HRS); Esophageal Varices; Gastric and€Ectopic Varices; Portal Hypertensive Gastropathy; Ascites, Refractory Ascites and€Hepatorenal Syndrome; Diagnosis and€Measurement of€Portal Hypertension; References; Chapter 2: Coagulopathy in€Cirrhosis; Introduction; Physiology of€Normal Hemostasis; Hemostasis in€Liver Disease; Clinical Features of€Coagulopathy in€Liver Disease; Coagulation Tests in€Liver Disease; Management of€Bleeding in€Liver Disease. Management of€Thrombosis in€Liver DiseaseReferences; Chapter 3: The Impact of€Liver Disease on€Drug Metabolism; Hepatic Drug Clearance; Drug Metabolism; Pharmacokinetic Alterations in€Cirrhosis; Prodrug Metabolism; Liver Function Assessment and€Dosage Adjustment; Drug-Drug Interactions; Recommendations for€Select Medications in€Surgical Patients; Analgesics; Opioid Analgesics; Antiemetics; Antimicrobials; Proton Pump Inhibitors; Conclusions; References; Chapter 4: Imaging in€Cirrhotic Patients Undergoing Surgical Procedures; Introduction; Radiographic Diagnosis of€Cirrhosis. Extrahepatic Imaging Manifestations Portal Hypertension and€Portosystemic Collaterals; Cavernous Transformation; Splenomegaly; Ascites; Abdominal Wall Hernia; Cholelithiasis; Bowel Wall Thickening; Hydrothorax; References; Chapter 5: Anesthesia for€Surgical Procedures in€Cirrhotic Patients Other than Liver Transplantation: Management, Concerns, and€Pitfalls; Introduction; Perioperative Risk Associated with€Liver Disease; Intraoperative Management; Monitoring and€Vascular Access; Coagulation Management; Anesthetic Technique: Neuraxial Versus General Anesthesia. Volatile Anesthetics Nitrous Oxide; Intravenous Anesthetics; Pharmacokinetic and€Pharmacodynamic Alterations; Vasopressors and€Volume Resuscitation; Transjugular Intrahepatic Portosystemic Shunt (TIPS) Procedure; Hepatic Resection; Conclusion; References; Chapter 6: Nutrition Support of€Patients with€Cirrhosis; Malnutrition and€Cirrhosis; Leading Causes of€Malnutrition in€Cirrhosis; Nutrient Metabolism; Protein Alterations; Glucose Alterations; Lipid Alterations; Other Metabolic Derangements; Nutrient Needs; Nutrition Support Indications.
Responsibility: Bijan Eghtesad, John Fung, editors.

Abstract:

This volume provides a concise yet comprehensive overview on surgical procedures performed on the cirrhotic patient. Operations discussed in detail include bariatric surgery, colorectal surgery,  Read more...

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