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The Scientific World Journal
Volume 2014, Article ID 239293, 5 pages
Review Article

Colorectal Surgery in Cirrhotic Patients

1Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
2Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, P.O. Box 1259, One Gustave L. Levy Place, New York, NY 10029, USA

Received 29 August 2013; Accepted 7 November 2013; Published 15 January 2014

Academic Editors: T. Chiba, S.-K. Chuah, G. Ramadori, and T. Shimatani

Copyright © 2014 Jacqueline Paolino and Randolph M. Steinhagen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Patients with cirrhosis have a greater risk of morbidity and mortality following colorectal surgery. Therefore, preoperative medical optimization and risk assessment using criteria such as the MELD score are vital in preventing complications. Some risk factors include age, urgency of surgery, and ASA score. Postoperative morbidity and mortality are related to portal hypertension, ascites, infection, and anastomotic and stomal complications. This review highlights the assessment of risk and perioperative management of cirrhotic patients undergoing colorectal surgery.