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Sclerosing cholangitis is characterized by chronic biliary duct inflammation, subsequently resulting in fibrotic stricturing and duct obliteration. Biliary cirrhosis follows, with progression to complications of end-stage liver disease, liver failure, and the need for liver transplantation. Primary sclerosing cholangitis (PSC)…
Surgery in the patient with chronic hepatitis can create multiple dilemmas in the preoperative, perioperative, and postoperative phases. Preoperatively, assessment of the stability of the patient’s liver disease can be crucial in decisions regarding a surgical procedure (see Chapter 4…