Hepatic and Biliary Diseases: Anesthesiologists Perspective

Beginning with an introduction to the basic anatomy of the liver and biliary tract, this book discusses the peri-operative management of different disorders and conditions that may affect the liver and ultimately lead to hepatic failure, for example, alcoholic liver disease, hepatorenal syndrome, endocrine dysfunction and liver disease in pregnancy. Rare hepatobiliary diseases with significant morbidity are discussed, as are future prospects such as a liver support system with the potential to revolutionise the management of end stage liver disease.

1. Basic Anatomy of the Liver and Biliary Tract.
2. Hepatic Blood Flow, Regulation and its Clinical Relevance.
3. Functions of the Liver.
4. Biochemical Evaluation of Liver Function
5. Drug Biotransformation by the Liver.
6. The Effects of Anesthetic Drugs on Hepatic Blood Flow.
7. Hepatotoxicty of Inhaled Anesthetics
8. Co-drug Therapy and Anesthetic Drugs in Liver Disease.
9. Considerations in Selecting an Inhaled Anesthetic Agents in Liver Disease.
10. Coagulopathies in Liver Disease.
11. Coagulation System Monitoring in Liver Disease.
12. Alcohol and Liver Diseases.
13. Fulminant Hepatic Failure.
14. Hepatopulmonary Syndrome.
15. Portopulmonary Hypertension.
16. Hepatorenal Syndrome
17. Endocrine Dysfunction in Liver Disease.
18. Liver Disease in Pregnancy.
19. Metabolic Disturbances in Liver Disease.
20. Estimation and Modification of Operative Risk in Patients with Liver Disease.
21. Portal Hypertension and Perioperative Care.
22. Anesthesia for Liver Trauma and Liver Resection.
23. Anesthesia for Liver Transplant
24. Obstructive Jaundice and its Anesthetic Management.
25. Postoperative Jaundice.
26. Artificial Hepatic Support Systems.
27. Porphyrias and Anesthesia
28. Crigler Najjar Syndrome.
29. Gilbert’s Syndrome.
30. Glycogen Storage Diseases.
31. Congenital Cholestatic Syndromes.
32. Alagille Syndrome
33. Progressive Familial Intrahepatic Cholestasis.
34. Biliary Atresia.Index

Chandra Kant Pandey MD
Professor and Head, Department of Anaesthesiology, Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi, India

Soumya Sankar Nath MD
Associate Consultant, Department of Anaesthesiology, Sahara Hospital, Lucknow, Uttar Pradesh, India

Mukesh Tripathi MD
Professor, Department of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India