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Information

Drug-induced liver injury (DILI) is largely a diagnosis of exclusion and should always be considered when formulating the differential diagnosis of patients presenting with liver abnormalities.

  1. DILI is a serious problem for the pharmaceutical industry because it is the most common reason for regulatory actions such as failure of approval, removal from market, or restrictions on indications for use.
  2. Nonacetaminophen drug-induced idiosyncratic liver injury accounts for 11% to 13% of cases of ALF, and with a 20% rate of survival with supportive care, it has a poorer than average rate of spontaneous recovery.
  3. In anesthesiology, perhaps the best-known potentially hepatotoxic drug is halothane.

Outline

The Liver: Surgery and Anesthesia

  1. Assessment of Hepatic Function
  2. Hepatobiliary Imaging
  3. Liver Biopsy
  4. Hepatic and Hepatobiliary Diseases
  5. Acute Liver Failure
  6. Acute Hepatitis
  7. Alcoholic Hepatitis
  8. Drug-Induced Liver Injury
  9. Pregnancy-Related Liver Diseases
  10. Cirrhosis and Portal Hypertension
  11. Hemostasis
  12. Cardiac Manifestations
  13. Renal Dysfunction
  14. Pulmonary Complications
  15. Hepatic Encephalopathy (HE)
  16. Ascites
  17. Varices
  18. Chronic Cholestatic Disease
  19. Chronic Hepatocellular Disease
  20. Hepatocellular Carcinoma (HCC)
  21. Nonalcoholic Fatty Liver Disease
  22. Preoperative Management
  23. Intraoperative Management
  24. Transjugular Intrahepatic Portosystemic Shunt Procedure
  25. Hepatic Resection
  26. Postoperative Liver Dysfunction