• Critical care clinics · Jul 2016

    Review

    Kidney Injury in Liver Disease.

    • Kevin R Regner and Kai Singbartl.
    • Division of Nephrology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
    • Crit Care Clin. 2016 Jul 1; 32 (3): 343-55.

    AbstractAcute kidney injury (AKI) occurs frequently in patients with liver disease and increases morbidity and mortality. Hepatorenal syndrome is a common cause of AKI in patients with decompensated cirrhosis and is due to alterations in systemic and renal hemodynamics. Serum creatinine-based estimation of kidney function is a key component of the Model for End-stage Liver Disease score in liver transplant candidates. Continuous renal replacement therapy is used in critically ill patients with liver failure and AKI. Simultaneous liver-kidney transplantation (SLK) may be required in patients with liver failure and prolonged AKI. Identification of appropriate candidates for SLK remains controversial.Copyright © 2016 Elsevier Inc. All rights reserved.

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