EPIDEMIOLOGY OF LIVER CIRRHOSIS MORBIDITY AND MORTALITY IN WESTERN AUSTRALIA, 1971-82: SOME PRELIMINARY FINDINGS

1985 ◽  
Vol 4 (1) ◽  
pp. 80-90
Author(s):  
D.I. SMITH ◽  
P.W. BURVILL
Keyword(s):  
Liver Cirrhosis ◽  
Western Australia ◽  
Morbidity And Mortality

scholarly journals Alcohol-related liver cirrhosis patients have higher-disease severity, one-year morbidity and mortality after index hospitalisation-followup of a cohort of 5,138 patients

2020 ◽  
Vol 73 ◽  
pp. S191
Author(s):  
Priyanka Jain ◽  
S Muralikrishna Shasthry ◽  
Ashok Choudhury ◽  
Guresh Kumar ◽  
Ankit Bhardwaj ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Disease Severity ◽  
Morbidity And Mortality ◽  
Index Hospitalisation ◽  
One Year

scholarly journals Laparoscopic cholecystectomy in patients with liver cirrhosis: review of intraoperative measures and recommendations

2021 ◽  
Author(s):  
Tamer M. Abdelrahman
Keyword(s):  
Liver Cirrhosis ◽  
Laparoscopic Cholecystectomy ◽  
Open Surgery ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Intraabdominal Pressure ◽  
Biliary Stones ◽  
Conversion To Open Surgery ◽  
Trocar Placement ◽  
Surgical Teams

AbstractSymptomatic biliary stones are related with higher morbidity and mortality rates in patients with liver cirrhosis, especially when patients undergo surgery. The difficulty of cholecystectomy is worsened by liver cirrhosis, especially in patients with extensive liver fibrosis and portal hypertension.Laparoscopic cholecystectomy can be performed safely in selected patients with cirrhosis. However, it can be challenging in many aspects and poses a greater degree of difficulty and thus should be performed by experienced surgical teams, who follow the recommendations and take in mined the special precautions which requested to increase safety of the operation and avoid  or reduce the morbidity and mortality , and also who able to tackle the more frequent intraoperative incidents or complications.In this review, we focus on of the technical difficulties and intraoperative recommendations that could be used to approach laparoscopic cholecystectomy in this patient population (trocar placement, intraabdominal pressure, visualization, gallbladder dissection, adjunct for hemostasis, intraperitoneal drains, and conversion to open surgery), and the alternative which can be used in advanced cases  

scholarly journals Correlation between APRI Index, MELD Score and Child Pugh Score in cirrhosis of liver

2019 ◽  
Vol 7 (1) ◽  
pp. 46
Author(s):  
B. C. Prakash ◽  
Abhiman Shetty B.
Keyword(s):  
Liver Cirrhosis ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Mean Value ◽  
Meld Score ◽  
Morbidity And Mortality ◽  
Refractory Ascites ◽  
P Value ◽  
Cross Sectional ◽  
Cirrhosis Of Liver

Background: Liver cirrhosis is the end result of chronic liver injury and is one of the most common cause of morbidity and mortality. Several scorings are available to predict the severity and prognosis of liver cirrhosis. This study aims to calculate APRI index, MELD score and child Pugh score in cirrhosis patients and to find the correlation between them.Methods: This is the Cross-sectional study on 100 patients confirmed with cirrhosis of liver. Cirrhosis due to alcohol, Hepatitis B and C, autoimmune, Cryptogenic, NAFLD, were included in the study. APRI Index, MELD Score and Child Pugh Score were calculated, and the correlation was obtained.Results: This study found out the relationship between APRI index, MELD Score and Child Pugh Score with significant p value. The study also showed that all the three scores were raised with patients who had complication of cirrhosis like encephalopathy, refractory ascites. Among those who had complication like grade 3 or 4 encephalopathy, APRI index had a mean value of 3.4, Child Pugh had a mean score of 13.2, and MELD had a mean score of 36.08 with standard deviation of 2.0, 1.5, 6.0 respectively.Conclusions: APRI index is an independent predictor of morbidity and mortality. The prognostic performance of all 3 was comparable, Hence APRI index can be used as an alternative scoring which is cost effective and objective method in predicting the severity and prognosis in cirrhosis of liver.

Predictors of morbidity and mortality after the first episode of upper gastrointestinal bleeding in liver cirrhosis

2000 ◽  
Vol 32 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Juan A.del Olmo ◽  
Andrés Peña ◽  
Miguel A Serra ◽  
Abdallah H Wassel ◽  
Adolfo Benages ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Morbidity And Mortality ◽  
First Episode ◽  
Upper Gastrointestinal

scholarly journals Bariatric surgery in individuals with liver cirrhosis: A narrative review

2017 ◽  
Vol 63 (2) ◽  
pp. 190-194 ◽  
Author(s):  
Everton Cazzo ◽  
Martinho Antonio Gestic ◽  
Murillo Pimentel Utrini ◽  
Felipe David Mendonça Chaim ◽  
Francisco Callejas-Neto ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Liver Transplantation ◽  
Liver Cirrhosis ◽  
Portal Hypertension ◽  
Chronic Liver ◽  
Narrative Review ◽  
Morbidity And Mortality ◽  
Surgical Morbidity ◽  
Compensated Cirrhosis ◽  
Function Impairment

Summary Introduction: Bariatric surgery has become the gold standard treatment for morbid obesity, but there is no consensus regarding its safety and efficacy among individuals with chronic liver diseases. Objective: To critically evaluate the existing evidence on literature about bariatric surgery in individuals with liver cirrhosis. Method: Narrative review performed by means of an online search in the MEDLINE and LILACS databases. Results: Bariatric surgery is safe and effective in individuals with chronic liver disease without clinical decompensation or significant portal hypertension. Individuals with severe liver function impairment present significantly higher surgical morbidity and mortality. Among candidates to liver transplantation, surgery may be performed before, after and even during transplantation, and there is a predominant trend to perform it after. Vertical sleeve gastrectomy seems to be the most adequate technique in this group of subjects. Conclusion: Bariatric surgery is safe and effective in individuals with compensated cirrhosis without significant portal hypertension, but presents higher morbidity. Among candidates to liver transplantation and/or individuals with severe portal hypertension, morbidity and mortality are significantly higher.

Epidemiology of liver cirrhosis morbidity and mortality in Iceland

1997 ◽  
Vol 9 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Dóra Lúdvíksdóttir ◽  
Hafsteinn Skúlason ◽  
Finnbogi Jakobsson ◽  
Anna Thórisdóttir ◽  
Nick Cariglia ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Morbidity And Mortality
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