Management of Renal Dysfunction in Patients Receiving a Liver Transplant

Christine Lau, Paul Martin, Suphamai Bunnapradist

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Renal dysfunction is a frequent complication in patients with endstage liver disease awaiting orthotopic liver transplantation. Although the stereotypical form of renal dysfunction is the hepatorenal syndrome, common causes of acute kidney injury include prerenal azotemia and acute tubular necrosis in this population. Management involves hemodynamic support, renal replacement therapy, and mitigation of risk factors. Renal dysfunction in a cirrhotic patient usually implies a poor prognosis in the absence of liver transplantation. An important issue is the frequent need for kidney, in addition to liver, transplantation if renal insufficiency has been persistent in a decompensated cirrhotic.

Original languageEnglish (US)
Pages (from-to)807-820
Number of pages14
JournalClinics in liver disease
Volume15
Issue number4
DOIs
StatePublished - Nov 1 2011

Keywords

  • Liver transplant
  • Liver-kidney transplant
  • Renal failure

ASJC Scopus subject areas

  • Hepatology

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