• Nephrol. Dial. Transplant. · Jan 2012

    Review

    Medical management of hepatorenal syndrome.

    • Andrew Davenport, Jawad Ahmad, Ali Al-Khafaji, John A Kellum, Yuri S Genyk, and Mitra K Nadim.
    • Department of Medicine, University College London Medical School, London, UK. Andrewdavenport@nhs.net
    • Nephrol. Dial. Transplant. 2012 Jan 1;27(1):34-41.

    AbstractHepatorenal syndrome (HRS) is defined as the occurrence of renal dysfunction in a patient with end-stage liver cirrhosis in the absence of another identifiable cause of renal failure. The prognosis of HRS remains poor, with a median survival without liver transplantation of <6 months. However, understanding the pathogenesis of HRS has led to the introduction of treatments designed to increase renal perfusion and mean arterial blood pressure using vasopressors and albumin, which has led to improvement in renal function in ∼50% of patients.

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