Endocrine Surgery in Cirrhotic Patients

Chapter

Abstract

Cirrhosis with chronic liver failure is a disease capable of affecting a variety of organ systems. As the prevalence of chronic liver disease increases, more patients undergoing elective surgery will have concomitant liver failure (O’Leary et al. 13:211, 2009). It is well documented that cirrhotic patients undergoing procedures under general anesthesia have perioperative mortality ranging from 8.3% to 25% (Millwala et al. 13:4056–4063, 2007). As the liver plays a vital function in a number of metabolic pathways, dysfunction of the liver can target several endocrine organs. As such, surgical management of endocrine disorders requires astute knowledge of the role of advanced liver disease in endocrine disorders and prudent judgment in the selection of patients that will undergo surgery.

Keywords

Thyroid surgery Thyroid nodules Cirrhosis Advanced liver disease Adrenal surgery Hyperparathyroidism Endocrine disorders 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.EssentiaHealth/Duluth ClinicDuluthUSA
  2. 2.Cleveland ClinicClevelandUSA

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