Perioperative Liver and Kidney Diseases.

Area of Science:

• Medicine
• Nephrology
• Hepatology

Background:

• Surgical risks are significant for patients with acute hepatitis, cirrhosis, and chronic kidney disease.
• The prevalence of chronic kidney and liver diseases is increasing, leading to more frequent surgeries in these populations.

Purpose of the Study:

• To provide optimal perioperative management strategies for patients with chronic kidney or liver disease.
• To focus on disease pathophysiology, preoperative evaluation, risk estimation, and postoperative complication management.

Main Methods:

• Review of disease pathophysiology for hepatitis, cirrhosis, and chronic kidney disease.
• Guidelines for targeted preoperative evaluation and risk stratification.
• Strategies for anticipating and managing common postoperative complications.

Main Results:

• Understanding disease-specific pathophysiology is crucial for risk assessment.
• Comprehensive preoperative evaluation aids in accurate risk estimation.
• Proactive management of postoperative complications improves patient outcomes.

Conclusions:

• Optimal perioperative care is essential for patients with chronic kidney or liver disease undergoing surgery.
• A systematic approach encompassing evaluation, risk assessment, and complication management is key.
• This article serves as a guide for clinicians managing these complex surgical cases.