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. 2023 Mar 13;22(2):32-36.
doi: 10.1097/CLD.0000000000000024. eCollection 2023 Aug.

Hepatorenal syndrome: Updates

Neha Tiwari  1 , Florence Wong  1
Affiliations

Hepatorenal syndrome: Updates

Neha Tiwari et al. Clin Liver Dis (Hoboken). .
No abstract available

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Conflict of interest statement

Florence Wong consults for and received grants from Ocelot Bio and Sequana Medical Inc. She received grants from Grifols. She consults for River2Renal Corp. Neha Tiwari has no conflicts to report.

Figures

FIGURE 1
FIGURE 1
Different phenotypes of renal dysfunction in patients with cirrhosis. Abbreviations: AKI, acute kidney injury, ATN, acute tubular necrosis, CKD, chronic kidney disease, HRS, hepatorenal syndrome, GN, glomerulonephritis.
FIGURE 2
FIGURE 2
(A) Diagnosis for patients presenting with acute kidney injury. *Precipitating factors: infections, large volume paracentesis without albumin administration, alcoholic hepatitis, nephrotoxic drugs, excess use of diuretics, gastrointestinal blood loss or other sources of fluid loss such as excessive diarrhea from over-zealous lactulose use. *HRS-AKI criteria according to ICA-AKI criteria (refer to Angeli et al). (B) Suggested management algorithm for patients presenting with hepatorenal syndrome. Abbreviations: ACLF, acute chronic liver failure; AKI, acute kidney injury; HRS, hepatorenal syndrome; LT, liver transplantation; max, maximum; RRT, renal replacement therapy.
FIGURE 3
FIGURE 3
Organ procurement and transplantation network selection criteria for simultaneous liver kidney transplant for hepatorenal syndrome. Abbreviations: AKI, acute kidney injury; CKD, chronic kidney disease, eGFR, estimated glomerular filtration rate, ESRD, end stage renal disease; HUS, hemolytic uremic syndrome; LT, liver transplantation, min, minute; sCr, serum creatine; SLKT, simultaneous kidney liver transplantation.
See this image and copyright information in PMC

References

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