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020 _a3319523961
_q(electronic bk.)
020 _a9783319523965
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020 _z3319523945
020 _z9783319523941
_q(print)
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050 4 _aRD546
_b2017 EB
245 0 0 _aSurgical procedures on the cirrhotic patient
_cBijan Eghtesad, John Fung, editors.
264 1 _aCham, Switzerland
_bSpringer
_c2017.
300 _a1 recurso en línea (xviii, 352 páginas)
_bilustraciones (algunas a color)
336 _aTexto
_btxt
_2rdacontent
337 _aelectrónico
_bc
_2rdamedia
338 _arecurso electrónico
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
500 _aIncluye índice
500 _aSpringerLink
505 0 _aForeword; Preface; Contents; Contributors; Chapter 1: Pathophysiology of€Cirrhosis and€Portal Hypertension; Introduction; Liver Histology; Hepatocytes; Liver Sinusoidal Endothelial Cells; Kupffer Cells; Stellate Cells (Ito Cells); Outcome of€Activated Stellate Cells; Definition and€Classification of€Portal Hypertension; Intrahepatic Changes; Increased Intrahepatic Resistance; Intrahepatic Angiogenesis; Intrahepatic Microthrombosis; Extrahepatic Changes; Extrahepatic Arteriolar Vasodilation; Collateral Blood Vessel Formation; Splenomegaly and€Increased Spleen Stiffness.
505 8 _aExtrahepatic Imaging Manifestations Portal Hypertension and€Portosystemic Collaterals; Cavernous Transformation; Splenomegaly; Ascites; Abdominal Wall Hernia; Cholelithiasis; Bowel Wall Thickening; Hydrothorax; References; Chapter 5: Anesthesia for€Surgical Procedures in€Cirrhotic Patients Other than Liver Transplantation: Management, Concerns, and€Pitfalls; Introduction; Perioperative Risk Associated with€Liver Disease; Intraoperative Management; Monitoring and€Vascular Access; Coagulation Management; Anesthetic Technique: Neuraxial Versus General Anesthesia.
505 8 _aManagement of€Thrombosis in€Liver DiseaseReferences; Chapter 3: The Impact of€Liver Disease on€Drug Metabolism; Hepatic Drug Clearance; Drug Metabolism; Pharmacokinetic Alterations in€Cirrhosis; Prodrug Metabolism; Liver Function Assessment and€Dosage Adjustment; Drug-Drug Interactions; Recommendations for€Select Medications in€Surgical Patients; Analgesics; Opioid Analgesics; Antiemetics; Antimicrobials; Proton Pump Inhibitors; Conclusions; References; Chapter 4: Imaging in€Cirrhotic Patients Undergoing Surgical Procedures; Introduction; Radiographic Diagnosis of€Cirrhosis.
505 8 _aRole of€Bacterial Translocation Role of€Portal Hypertension in€Development of€Common Complications of€Cirrhosis (Varices, Ascites, and€HRS); Esophageal Varices; Gastric and€Ectopic Varices; Portal Hypertensive Gastropathy; Ascites, Refractory Ascites and€Hepatorenal Syndrome; Diagnosis and€Measurement of€Portal Hypertension; References; Chapter 2: Coagulopathy in€Cirrhosis; Introduction; Physiology of€Normal Hemostasis; Hemostasis in€Liver Disease; Clinical Features of€Coagulopathy in€Liver Disease; Coagulation Tests in€Liver Disease; Management of€Bleeding in€Liver Disease.
505 8 _aVolatile Anesthetics Nitrous Oxide; Intravenous Anesthetics; Pharmacokinetic and€Pharmacodynamic Alterations; Vasopressors and€Volume Resuscitation; Transjugular Intrahepatic Portosystemic Shunt (TIPS) Procedure; Hepatic Resection; Conclusion; References; Chapter 6: Nutrition Support of€Patients with€Cirrhosis; Malnutrition and€Cirrhosis; Leading Causes of€Malnutrition in€Cirrhosis; Nutrient Metabolism; Protein Alterations; Glucose Alterations; Lipid Alterations; Other Metabolic Derangements; Nutrient Needs; Nutrition Support Indications.
520 3 _aThis volume provides a concise yet comprehensive overview on surgical procedures performed on the cirrhotic patient. The text explains the underlying pathophysiologic alterations in liver disease and cirrhosis, provides assessment of disease severity and risk factors, and helps to predict potential outcomes based on the nature of the operation. Operations discussed in detail include bariatric surgery, colorectal surgery, hepatic surgery, kidney transplantation, gynecological procedures, neurosurgical procedures, and ophthalmic surgery. The book is also supplemented with instructive color illustrations and tables. Written by experts in the field, Surgical Procedures on the Cirrhotic Patient is a valuable, multidisciplinary resource for clinicians who treat the cirrhotic patient. With a Foreword by Thomas E. Starzl, the father of liver transplantation.
588 0 _aOnline resource; title from PDF title page (SpringerLink, viewed May 9, 2017).
650 7 _2embne-DP
_9187255
_aHígado
_xCirugía
700 1 _aEghtesad, Bijan,
_eeditor literario
700 1 _aFung, John,
_eeditor literario
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=http://link.springer.com/10.1007/978-3-319-52396-5
_zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
942 _2lcc
_cLE
998 _b02/2018
_dz
_e-
_zSI