Hepatobiliary manifestations of critically ill and postoperative patients.

Andrew Aronsohn, Donald Jensen

Journal: Clinics in liver disease 2011;15(1):183-97

PMID: 21112000

Full Text on Elsevier Science View on PubMed

Abstract

Liver dysfunction is common in both the critically ill and postoperative patient. Metabolic derangements secondary to sepsis, poor hepatic perfusion, total parenteral nutrition, in addition to hemodynamic and anesthetic-induced changes that occur during surgery, can cause liver damage ranging from small self-limited abnormalities in liver chemistries to acute liver failure. Early recognition, supportive care, and effective treatment of the underlying disease process are crucial steps in managing liver disease in a critically ill patient.

Address: Center for Liver Disease, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medical Center, 5841 South Maryland Avenue, MC 7120, Chicago, IL 60637, USA.

DOI: 10.1016/j.cld.2010.09.004

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MeSH Terms: Biliary Tract Diseases, Critical Care, Critical Illness, Humans, Liver Diseases, Postoperative Period