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Praxis (Bern 1994). 2006 Oct 4;95(40):1535-8.

[Renal impairment in liver diseases].

[Article in German]

Author information

1
Medizinische Klinik II, Klinikum der Universität München-Grosshadern, München. gerbes@med.uni-muenchen.de

Abstract

Renal failure in patients with liver disease is mostly none-organic: prerenal failure or hepatorenal syndrome (HRS). In addition there is organic renal failure, mostly acute tubular necrosis (ATN). In order to avoid functional renal failure cautious diuretic treatment as well as intravenous albumin substitution following paracentesis are pivotal. For prophylaxis of HRS patients with spontaneous bacterial peritonitis shall be given albumin infusions in addition to antibiotic treatment. Patients with HRS type I exhibit a very poor prognosis. Liver transplantation is the only established therapy with long-term success. To bridge the time to transplantation TIPS or terlipressin and albumin can be used.

PMID:
17048410
DOI:
10.1024/1661-8157.95.40.1535
[Indexed for MEDLINE]
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