CLINICAL REVIEWSPreoperative Assessment of the Patient with Liver DiseaseKeegan, Mark T., M.B., M.R.C.P.I; Plevak, David J., M.D.Author Information Department of Anesthesiology, Division of Critical Care, Mayo Clinic College of Medicine, Rochester, Minnesota Reprint requests and correspondence: Mark T. Keegan, M.B., M.R.C.P.I., Mayo Clinic, Department of Anesthesiology, Charlton 1145, 200 First Street SW, Rochester, MN 55905. Received September 7, 2004; accepted March 15, 2005. American Journal of Gastroenterology: September 2005 - Volume 100 - Issue 9 - p 2116-2127 Buy Abstract Patients with liver disease are at appreciable risk when undergoing anesthesia and surgery. Attempts to quantify this risk have been thwarted by the diversity of disease states and illness severity that such patients bring to the operating theater and the myriad of procedures they may undergo. This review discusses the indications and contraindications for surgery in patients with liver disease and attempts to give specific recommendations for optimizing the clinical status of a patient with hepatic dysfunction prior to operative intervention. © The American College of Gastroenterology 2005. All Rights Reserved.