Surgical Considerations in Portal Hypertension.

Hypertension, Portal / surgery Humans Liver Cirrhosis / complications Risk Assessment Esophageal and Gastric Varices / surgery
Cirrhosis Hepatic management Liver resection Malignancy Outcome Portal hypertension

Journal

Clinics in liver disease
ISSN: 1557-8224
Titre abrégé: Clin Liver Dis
Pays: United States
ID NLM: 9710002

Informations de publication

Date de publication:
Aug 2024
Historique:
medline: 1 7 2024
pubmed: 1 7 2024
entrez: 30 6 2024
Statut: ppublish

Résumé

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.

Identifiants

DOI: 10.1016/j.cld.2024.04.001 PMID: 38945643
pubmed: 38945643
pii: S1089-3261(24)00037-0
doi: 10.1016/j.cld.2024.04.001
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

555-576

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure A. Berzigotti is a consultant to Boehringer-Inhelheim. G. Sapisochin is consultant to AstraZeneca, Integra, Novartis, Roche, and HepaRegeniX. He also received grants from Roche, Switzerland and Bayer, Germany.

Auteurs

Christian Tibor Josef 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 Hospital, University of Bern, Switzerland.

Felipe 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.

Zhihao 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.

Woo Jin 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.

Ann Thu Ma (AT)

Toronto Centre for Liver Disease, University Health Network, Toronto, Ontario, Canada.

Annalisa Berzigotti (A)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland.

Gonzalo 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.

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Classifications MeSH

questionsmedicales.fr › Maladies de l'appareil digestif › Maladies du foie › Hypertension portale › Surgical Considerations in Portal Hypertension.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Surgical Considerations in Portal Hypertension.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Fibrose › Cirrhose du foie › Surgical Considerations in Portal Hypertension.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Appréciation des risques › Surgical Considerations in Portal Hypertension.
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies du foie › Hypertension portale › Varices oesophagiennes et gastriques › Surgical Considerations in Portal Hypertension.