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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 7, 2016; 22(9): 2657-2667
Published online Mar 7, 2016. doi: 10.3748/wjg.v22.i9.2657
Outcomes of abdominal surgery in patients with liver cirrhosis
Juan C Lopez-Delgado, Josep Ballus, Francisco Esteve, Nelson L Betancur-Zambrano, Vicente Corral-Velez, Rafael Mañez, Antoni J Betbese, Joan A Roncal, Casimiro Javierre
Juan C Lopez-Delgado, Josep Ballus, Francisco Esteve, Nelson L Betancur-Zambrano, Vicente Corral-Velez, Rafael Mañez, Hospital Universitari de Bellvitge, Intensive Care Department, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
Juan C Lopez-Delgado, Francisco Esteve, Rafael Mañez, IDIBELL (Institut d’Investigació Biomèdica Bellvitge, Biomedical Investigation Institute of Bellvitge), Research Team of Area of Innate Immunity and Pathology of the Critical Patient, L’Hospitalet de Llobregat, 08908 Barcelona, Spain
Antoni J Betbese, Joan A Roncal, Hospital de la Santa Creu i Sant Pau, Intensive Care Department, 08041 Barcelona, Spain
Casimiro Javierre, Physiological Sciences II Department, Universitat de Barcelona, Campus Bellvitge, 08907 Barcelona, Spain
Author contributions: Lopez-Delgado JC, Ballus J, Esteve F and Mañez R wrote the paper and performed the research; Betbese AJ, Roncal JA and Javierre C wrote part of the paper and reviewed it for final remarks; all authors approved the final version of the manuscript.
Conflict-of-interest statement: The authors have no conflict of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Juan C Lopez-Delgado, MD, PhD, Hospital Universitari de Bellvitge, Intensive Care Department, C/Feixa Llarga s/n. 08907, L’Hospitalet de Llobregat, 08907 Barcelona, Spain. juancarloslopezde@hotmail.com
Telephone: +34-650506985 Fax: +34-932607963
Received: June 15, 2015
Peer-review started: June 19, 2015
First decision: September 9, 2015
Revised: October 30, 2015
Accepted: December 14, 2015
Article in press: December 14, 2015
Published online: March 7, 2016
Core Tip

Core tip: The prevalence of chronic liver disease is increasing. Patients with liver cirrhosis may be more likely to need non-hepatic abdominal surgery than the non-cirrhotic population. The rising incidence of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis may increase the prevalence of cirrhotic patients within the abdominal surgery population. The pathophysiological characteristics of the condition raise the surgical risk and the likelihood of poor prognosis. A review of the assessment and outcomes for non-hepatic abdominal procedures in these patients is essential since most current recommendations are based on observational studies.