Preoperative evaluation of patients with liver disease

A. James Hanje, Tushar Patel

Research output: Contribution to journalReview articlepeer-review

66 Scopus citations


Patients with end-stage liver disease often undergo surgery for indications other than liver transplantation. These patients have an increased risk of morbidity and mortality that is related to their underlying liver disease. Assessments of surgical risk provide a basis for discussion of risks and benefits, treatment decision making, and for optimal management of patients for whom surgery is planned. The most useful indicators of surgical risk are indices that predict advanced disease, such as the Child-Turcotte-Pugh score, or those that predict prognosis, such as the Model for End-stage Liver Disease score. Careful preoperative risk assessment, patient selection, and management of various manifestations of advanced disease might decrease morbidity and mortality from nontransplant surgery in patients with liver disease.

Original languageEnglish (US)
Pages (from-to)266-276
Number of pages11
JournalNature Clinical Practice Gastroenterology and Hepatology
Issue number5
StatePublished - May 2007

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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