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The Prognostic Role of Hepatic Venous Pressure Gradient in Cirrhotic Patients Undergoing Elective Extrahepatic Surgery by Enric Reverter; Isabel Cirera; Agustín Albillos; Wilma Debernardi-Venon; Juan G. Abraldes; Elba Llop; Alexandra Flores; Graciela Martínez-Palli; Annabel Blasi; Javier Martínez; Fanny Turon; Juan Carlos García-Valdecasas; Annalisa Berzigotti; Antoni M. de Lacy; Josep Fuster; Virginia Hernández-Gea; Jaume Bosch; Joan Carles García-Pagán is a Medicine article available to read on EtoBox.
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## Background & aims: Surgery in cirrhosis is associated with a high morbidity and mortality. retrospectively reported prognostic factors include emergency procedures, liver function (meld/child-pugh scores) and portal hypertension (assessed by indirect markers). this study assessed the prognostic role of hepatic venous pressure gradient (hvpg) and other variables in elective extrahepatic surgery in patients with cirrhosis. ## Methods: A total of 140 patients with cirrhosis (child-pugh a/b/c: 59/37/4%), who were due to have elective extrahepatic surgery (121 abdominal; 9 cardiovascular/thoracic; 10 orthopedic and others), were prospectively included in 4 centers (2002-2011). hepatic and systemic hemodynamics (hvpg, indocyanine green clearance, pulmonary artery catheterization) were assessed prior to surgery, and clinical and laboratory data were collected. patients were followed-up for 1 year and mortality, transplantation, morbidity and post-surgical decompensation were studied. ## Results: Ninety-day and 1-year mortality rates were 8% and 17%, respectively. variables independently associated with 1-year mortality were asa class (american society of anesthesiologists), high-risk s
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- Author
- Enric Reverter; Isabel Cirera; Agustín Albillos; Wilma Debernardi-Venon; Juan G. Abraldes; Elba Llop; Alexandra Flores; Graciela Martínez-Palli; Annabel Blasi; Javier Martínez; Fanny Turon; Juan Carlos García-Valdecasas; Annalisa Berzigotti; Antoni M. de Lacy; Josep Fuster; Virginia Hernández-Gea; Jaume Bosch; Joan Carles García-Pagán
- Published
- 2019
- Language
- EN
- Field
- Medicine (Health Sciences)