Hepatorenal failure, a well-recognized complication of established liver disease, is characterized by early renal hemodynamic changes (vasoconstriction) before clinically recognized kidney disease. This renal vasoconstriction (increased renal vascular resistance) should be detectable noninvasively by Doppler ultrasonography. We studied whether renal Doppler ultrasonography detects abnormalities...

Objective: To find the efficacy of albumin and terlipressin in management hepatorenal syndrome. Study Design: Randomized control trial. Place Duration Study: Department Medicine, Bolan University Medical & Health Sciences, Quetta from 1st March 2020 to 30th September 2020. Methodology: Eighty four patients both genders were enrolled. Complete demographic details regarding age, sex, gender, ...

Hepatorenal syndrome is a form of acute or sub-acute renal failure which develops in patients with chronic liver disease. In contrast to other forms of acute renal failure it may be reversible using pharmacological agents. The pathogenesis involves splanchnic vasodilatation and intense renal vasoconstriction. Increasing intravascular volume and prolonged treatment with vasoconstrictor drugs rev...

Hyponatremia and hepatorenal syndrome are severe complications in patients with cirrhosis and ascites resulting from circulatory abnormalities (splanchnic and systemic vasodilatation) that develop with portal hypertension. Both conditions are associated with an increased risk of death. Hyponatremia and renal failure may develop in patients with cirrhosis due to causes other than portal hyperten...

UNLABELLED The major impact of sepsis-induced multiple organ dysfunction on healthcare system in the European Union was estimated at 90.4 cases per 100000 inhabitants, compared to 58 per 100000 for breast cancer. The association of organ dysfunctions in terms of both the number of dysfunctions and the degree of organ dysfunction is the most powerful predictor of death in sepsis. AIM To find m...

The onset of renal failure in a patient with cirrhosis or acute liver failure is alarming because it raises the possibility of the hepatorenal syndrome (HRS). Periodic surveillance of renal function is helpful in patients with severe liver disease to detect HRS early and to help correct reversible contributing factors. Once established, HRS responds relatively poorly to medical management, alth...

Hepatorenalni sindrom (HRS) predstavlja reverzibilnu bubrežnu insuficijenciju kod bolesnika sa uznapredovalom cirozom ili akutnom insuficijencijom jetre . Samo 3,5% bolesnika oporavi se spontano od hepatorenalnog sindroma . Zato HRS ima najlošiju prognozu od svih komplikacija uznapredovale ciroze jetre i jetrine insuficijencije. Novembra 2005. International Ascites Club revidirao je kriterijume...