| Autor: |
Mohammed AbdAllah Salman, Doaa Ahmed Mansour, Hany Armia Balamoun, Mohamed Yehia Elbarmelgi, Kareem Essam Eldin Hadad, Mohammad ElSherbiny Abo Taleb, Ahmed Salman |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Asian Journal of Surgery, Vol 42, Iss 1, Pp 338-342 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1015-9584 |
| DOI: |
10.1016/j.asjsur.2018.09.007 |
| Popis: |
Summary: Objective: Emergency surgery is a risk factor for mortality in cirrhotic patients. Portal hypertension is an essential feature of decompensated cirrhosis. This study aimed to assess the value of portal venous pressure (PVP) measurement in prediction of 1-month mortality in cirrhotic patients undergoing emergency laparotomy. Methods: This prospective study included 121 adults with liver cirrhosis subjected to an emergency laparotomy. Child–Turcotte–Pugh (CTP) score and model for end-stage liver disease (MELD) score were used for preoperative patient evaluation. PVP was measured directly at the beginning of surgery. Portal hypertension (PHT) is diagnosed when PVP is greater than 12 mmHg. The primary outcome measure was the risk of mortality within one month after surgery. Results: PVP ranged from 5 to 27 mmHg; 82 patients (67.8%) had PHT. Fifty-five patients (45.5%) died within 1 month. Mortality was significantly associated with increasing CTP Class, MELD score and PHT (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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