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JOURNAL ARTICLE
REVIEW

Medical management of hepatorenal syndrome

Andrew Davenport, Jawad Ahmad, Ali Al-Khafaji, John A Kellum, Yuri S Genyk, Mitra K Nadim
Nephrology, Dialysis, Transplantation 2012, 27 (1): 34-41
22287700
Hepatorenal 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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Raúl Valdés wrote:

19

The paper mentions albumin at 1 gr/kg, up to 100 gr a day for one day, then describes the same dosage for two days in a row. Which one is the better one?

Omar Banegas Soler wrote:

15

Any further info on paracentesis, how much and when tomstop, also related with albumin administration.
Nice paper!

Hass Beeb wrote:

11

Excellent review

Alejo Ramírez wrote:

4

Good review, congratulaciones

Tito Freire wrote:

3

Excellent review thanks you

Kayak Masajes wrote:

1

Interesante

Saqib Musharaf wrote:

1

A good study.

Roilan Garcia wrote:

1

Exellent update.

Abdullah Asiri wrote:

0

Nice

lorena teresita wrote:

0

Good

FABIANA contieri wrote:

0

Very Nice review!

Dr.Abhinav Choudhury wrote:

0

Helpful

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