Child-pugh score is altered by the albumin measurement method.

Division of Laboratory Medicine, Chiba University Hospital, Chiba, Japan, Chiba University Chiba City, Chiba, Japan; Clinical Proteomics Research Center, Chiba University Hospital, Chiba, Japan, Chiba University Chiba City, Chiba, Japan, Chiba, Japan; Department of Molecular Diagnosis, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hepatology (Impact Factor: 12). 07/2012; DOI: 10.1002/hep.25972
Source: PubMed
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    ABSTRACT: Emergency ligation of bleeding oesophageal varices using the Milnes Walker technique was performed in 38 patients. Haemorrhage continued or recurred in hospital in 11 patients, all of whom subsequently died. A further 10 patients died in hospital following operation from hepatic failure and a variety of other causes. Five patients were finally considered suitable for elective shunt surgery, but of 12 patients who were discharged without a further operation, only 2 have re-bled. Although the overall 6-month survival was 32 per cent, in patients with good preoperative liver function this rose to 71 per cent, and the simple scoring system for grading the severity of disturbance of liver function was found to be of value in predicting the outcome of surgery.Since the results of emergency ligation of bleeding oesophageal varices in our hands have been so disappointing we are currently using it less and are trying the mesenteric caval jump graft as an emergency operation for the control of bleeding varices.
    British Journal of Surgery 09/1973; 60(8):646-9. · 4.84 Impact Factor


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