Preoperative cardiovascular hemodynamics and percutaneous biopsies were used to evaluate the pathophysiologic factors determining the operative prognosis od patients with cirrhotic liver disease and bleeding esophageal varices. These studies confirm the observations of Diegel that the greater magnitude of peripheral abnormalities in vascular tone and oxygen consumption the better must be the capability of the ventricular function, if the cirrhotic is to survive emergency or urgent portal decompressive surgery. these studies also show that the cardiovascular hemodynamics are directly correlated with the nature and degree of abnormalities ion the liver biopsy, and that pathologic and physiologic features of this disease which impact on surgical prognosis can be expressed through the easily obtained Survival Index. bleeding cirrhotic patients with poor quality hemodynamics and poor histologic characteristics should be treated non operatively, since the operative mortality appears greater than that produced by a strategy of medical supportive therapy and delayed surgery if stabilization occurs.
|Titolo:||The role of cardiovascular hemodynamics and liver histology in evaluating bleeding cirrhotic patients|
DI CARLO, VALERIO (Primo)
STAUDACHER, CARLO (Secondo)
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||ago-1979|
|Digital Object Identifier (DOI):||10.1097/00000658-197908000-00015|
|Appare nelle tipologie:||01 - Articolo su periodico|