Abstract：
:Determining the perioperative risks associated with surgical procedures performed in patients with HIV disease is a difficult and complex task. Because HIV is a contagious, blood-borne pathogen, it threatens the health and well-being of both patient and health care provider. Despite poor early results, there is now convincing evidence that HIV infection is not a significant, independent risk factor for major surgical procedures. In practice, the authors evaluate the risk of surgery in patients with HIV infection using the same basic tools and guidelines applied to the uninfected, with the best predictors of surgical morbidity and mortality stemming from a careful and accurate assessment of the patient's cardiopulmonary, renal, endocrine, and nutritional reserve. Although HIV disease provides a unique constellation of diagnoses and challenges to the health care provider, the risk of major surgery in this population is not unlike that for other immunocompromised or malnourished patients. The authors believe that members of the surgical team have a professional, moral, and ethical responsibility to provide the highest possible quality of care for their patients, regardless of their HIV status. If after weighing the risks and benefits to the patient the surgeon believes the procedure will have a positive effect on the patient's life, the surgeon must offer surgical treatment. To do less does a disservice to the patient, the provider, and the profession as a whole.
journal_name
Gastroenterol Clin North Amjournal_title
Gastroenterology clinics of North Americaauthors
Harris HW,Schecter WPdoi
10.1016/s0889-8553(05)70300-9subject
Has Abstractpub_date
1997-06-01 00:00:00pages
377-91issue
2eissn
0889-8553issn
1558-1942pii
S0889-8553(05)70300-9journal_volume
26pub_type
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
pub_type： 杂志文章,评审
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journal_title：Gastroenterology clinics of North America
pub_type： 杂志文章
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journal_title：Gastroenterology clinics of North America
pub_type： 杂志文章,评审
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journal_title：Gastroenterology clinics of North America
pub_type： 杂志文章,评审
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journal_title：Gastroenterology clinics of North America
pub_type： 杂志文章,评审
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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journal_title：Gastroenterology clinics of North America
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