Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos

Background: Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications. Aim: To describe the clinical characteristics and surgical complications of cirrhotic patients undergoing surgery in a Chilean university hospital. Patients and Methods: Review o...

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Autores principales:	Gajardo,Abraham IJ, Poniachik,Rafael, Freundlich,Alejandro, Vera,Daniela B., Chesta,Caterina, Rappoport,Jaime, Díaz,Juan Carlos, Saure,Alexandre, Castillo,Jaime, Lembach,Hans, González,Katherine, Navea,César, Poniachik,Jaime
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Intraoperative Complications Liver Cirrhosis Risk Factors
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901099
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spelling	oai:scielo:S0034-988720190009010992020-01-07Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenosGajardo,Abraham IJPoniachik,RafaelFreundlich,AlejandroVera,Daniela B.Chesta,CaterinaRappoport,JaimeDíaz,Juan CarlosSaure,AlexandreCastillo,JaimeLembach,HansGonzález,KatherineNavea,CésarPoniachik,Jaime Intraoperative Complications Liver Cirrhosis Risk Factors Background: Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications. Aim: To describe the clinical characteristics and surgical complications of cirrhotic patients undergoing surgery in a Chilean university hospital. Patients and Methods: Review of medical records of 102 cirrhotic patients aged 60 ± 11 years (52% males) who underwent elective or urgency surgery at an university hospital between 2010 and 2016. General, pre-surgical, and post-surgical complications were recorded. Results: The main etiologies of cirrhosis were non-alcoholic steatohepatitis (31%), and alcoholic cirrhosis (28%). Child-Pugh scores were A, B and C in 50, 28 and 22% of cases respectively. Median MELD (Model for End-stage Liver Disease) score was 11 (interquartile range: 10-15). The surgical procedure was elective in 71% of cases, with predominance of abdominal surgery (86%). The American Society of Anesthesiologists (ASA) score was three or more in 52% of patients. The frequency of any adverse outcome was 62%. The frequency increased along with the severity of cirrhosis and when surgery was urgent. The most common complications were acute renal failure (24%), increased ascites (23%) and encephalopathy (22%). Admission to intensive care unit occurred on 26% of patients, with six hospital deaths. Conclusions: In these patients, surgical complications were common, although with low mortality.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.9 20192019-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901099es10.4067/s0034-98872019000901099
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Intraoperative Complications Liver Cirrhosis Risk Factors
spellingShingle	Intraoperative Complications Liver Cirrhosis Risk Factors Gajardo,Abraham IJ Poniachik,Rafael Freundlich,Alejandro Vera,Daniela B. Chesta,Caterina Rappoport,Jaime Díaz,Juan Carlos Saure,Alexandre Castillo,Jaime Lembach,Hans González,Katherine Navea,César Poniachik,Jaime Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
description	Background: Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications. Aim: To describe the clinical characteristics and surgical complications of cirrhotic patients undergoing surgery in a Chilean university hospital. Patients and Methods: Review of medical records of 102 cirrhotic patients aged 60 ± 11 years (52% males) who underwent elective or urgency surgery at an university hospital between 2010 and 2016. General, pre-surgical, and post-surgical complications were recorded. Results: The main etiologies of cirrhosis were non-alcoholic steatohepatitis (31%), and alcoholic cirrhosis (28%). Child-Pugh scores were A, B and C in 50, 28 and 22% of cases respectively. Median MELD (Model for End-stage Liver Disease) score was 11 (interquartile range: 10-15). The surgical procedure was elective in 71% of cases, with predominance of abdominal surgery (86%). The American Society of Anesthesiologists (ASA) score was three or more in 52% of patients. The frequency of any adverse outcome was 62%. The frequency increased along with the severity of cirrhosis and when surgery was urgent. The most common complications were acute renal failure (24%), increased ascites (23%) and encephalopathy (22%). Admission to intensive care unit occurred on 26% of patients, with six hospital deaths. Conclusions: In these patients, surgical complications were common, although with low mortality.
author	Gajardo,Abraham IJ Poniachik,Rafael Freundlich,Alejandro Vera,Daniela B. Chesta,Caterina Rappoport,Jaime Díaz,Juan Carlos Saure,Alexandre Castillo,Jaime Lembach,Hans González,Katherine Navea,César Poniachik,Jaime
author_facet	Gajardo,Abraham IJ Poniachik,Rafael Freundlich,Alejandro Vera,Daniela B. Chesta,Caterina Rappoport,Jaime Díaz,Juan Carlos Saure,Alexandre Castillo,Jaime Lembach,Hans González,Katherine Navea,César Poniachik,Jaime
author_sort	Gajardo,Abraham IJ
title	Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
title_short	Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
title_full	Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
title_fullStr	Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
title_full_unstemmed	Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
title_sort	cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901099
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Cirugía en el paciente cirrótico: características clínicas y complicaciones en una cohorte de pacientes chilenos

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