Data di Pubblicazione:
2017
Citazione:
Challenges in Renal Failure Treatment Before Liver Transplant / F. Fabrizi, P. Messa. - In: CLINICS IN LIVER DISEASE. - ISSN 1089-3261. - 21:2(2017 May), pp. 303-319. [10.1016/j.cld.2016.12.005]
Abstract:
Acute kidney injury (AKI) is common in patients with cirrhosis and ascites on the waiting list for liver transplant. Hepatorenal syndrome (HRS) is an important cause of AKI among cirrhotics. A dynamic definition of AKI in patients with cirrhosis has been introduced and changed the diagnosis criteria. Liver transplantation remains the better option but the medical management of HRS has changed. Terlipressin plus albumin is currently the gold standard. Surgery and liver or kidney support systems have been recommended. Clinical trials will assess the most appropriate approach for the treatment of HRS in light of the revised diagnostic criteria.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Acute kidney injury; Cirrhosis; Hepatorenal syndrome; Liver transplant; Survival; Terlipressin; Hepatology
Elenco autori:
F. Fabrizi, P. Messa
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