Scoring Of Surgical Patients With Liver Disease. An Egyptian Contribution

      Аннотация: The author is a founder of Anesthesia&IC in an Egyptian univ.Since 1995,he started research on liver disease, an endemic problem in Egypt.He concluded that preoperative preparation of the surgical hepatic patient is ethical to improve outcome.He found out predictors of outcome in surgical cirrhotic patients& created a subjective/objective model.A further research step formulated a purely objective model that was statistically validated.It compared favorably with current models due to higher sensitivity, specificity, predictve values,&accuracy. The book starts with an introduction of anatomy,and pathophysiology of liver diseases.It discusses the New Model for End-stage Liver Disease(NMELD)& its application in some Egyptian studies. It describes invasive vs non-invasive diagnosis of liver fibrosis, including biopsy,biomarkers&fibroscanning.It reports an Egyptian trial for proper anesthesia for liver resection with or without encephalopathy.The book is an Egyptian contribution in preoperative evaluation of surgical hepatic patients through the score to be downloaded from the website;"http//:www.ezzatmoemen.com".It can prioritirise patients on the waiting list of liver transplantation.

Ключевые слова: liver disease, Cirrhosis, liver transplantation, INR, liver biopsy, encephalopathy, ascites, scoring systems, MELD, Child-Pugh