Management of renal dysfunction in patients receiving a liver transplant.

Abstract:

:Renal dysfunction is a frequent complication in patients with endstage liver disease awaiting orthotopic liver transplantation. Although the stereotypical form of renal dysfunction is the hepatorenal syndrome, common causes of acute kidney injury include prerenal azotemia and acute tubular necrosis in this population. Management involves hemodynamic support, renal replacement therapy, and mitigation of risk factors. Renal dysfunction in a cirrhotic patient usually implies a poor prognosis in the absence of liver transplantation. An important issue is the frequent need for kidney, in addition to liver, transplantation if renal insufficiency has been persistent in a decompensated cirrhotic.

journal_name

Clin Liver Dis

journal_title

Clinics in liver disease

authors

Lau C,Martin P,Bunnapradist S

doi

10.1016/j.cld.2011.08.001

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

807-20

issue

4

eissn

1089-3261

issn

1557-8224

pii

S1089-3261(11)00093-6

journal_volume

15

pub_type

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