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Surgical Considerations in Portal Hypertension.
Magyar, Christian Tibor Josef; Gaviria, Felipe; Li, Zhihao; Choi, Woo Jin; Ma, Ann Thu; Berzigotti, Annalisa; Sapisochin, Gonzalo.
Afiliação
  • Magyar CTJ; Department of Surgery, University of Toronto, Toronto, Ontario, Canada; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada; Multi-Organ Transplant Program, University Health Network, Toronto, Canada; Department of Visceral Surgery and Medicine, Inselspital, Bern University Ho
  • Gaviria F; Department of Surgery, University of Toronto, Toronto, Ontario, Canada; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada; Multi-Organ Transplant Program, University Health Network, Toronto, Canada.
  • Li Z; Department of Surgery, University of Toronto, Toronto, Ontario, Canada; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada; Multi-Organ Transplant Program, University Health Network, Toronto, Canada.
  • Choi WJ; Department of Surgery, University of Toronto, Toronto, Ontario, Canada; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada; Multi-Organ Transplant Program, University Health Network, Toronto, Canada.
  • Ma AT; Toronto Centre for Liver Disease, University Health Network, Toronto, Ontario, Canada.
  • Berzigotti A; Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland.
  • Sapisochin G; Department of Surgery, University of Toronto, Toronto, Ontario, Canada; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada; Multi-Organ Transplant Program, University Health Network, Toronto, Canada. Electronic address: Gonzalo.sapisochin@uhn.ca.
Clin Liver Dis ; 28(3): 555-576, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38945643
ABSTRACT
This review provides an in-depth exploration of portal hypertension (PH) and its implications in various surgical procedures. The prevalence of clinically significant PH is 50% to 60% in compensated cirrhosis and 100% in decompensated cirrhosis. The feasibility and safety of hepatic and nonhepatic surgical procedures in patients with PH has been shown. Adequate preoperative risk assessment and optimization of PH are integral parts of patient assessment. The occurrence of adverse outcomes after surgery has decreased over time in this specific population, due to the development of techniques and improved perioperative multidisciplinary care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipertensão Portal Limite: Humans Idioma: En Revista: Clin Liver Dis Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipertensão Portal Limite: Humans Idioma: En Revista: Clin Liver Dis Ano de publicação: 2024 Tipo de documento: Article