1.Hepatorenal Syndrome.
Kyo Sun KIM ; Young Mo SOHN ; Jung Soo KIM
Journal of the Korean Pediatric Society 1981;24(3):257-270
No abstract available.
Hepatorenal Syndrome*
2.Hepatorenal Syndrome.
The Korean Journal of Hepatology 1997;3(2):89-107
No abstract available.
Hepatorenal Syndrome*
3.Pathogenesis of hepatorenal syndrome.
Chinese Journal of Hepatology 2003;11(10):626-626
7.Evaluation of Renal Resistive Index in Cirrhotic Patients for Predicting the Hepatorenal Syndrome.
Seung Yon BAEK ; Hyae Young KIM ; Sun Young YI
Journal of the Korean Radiological Society 1996;34(4):489-492
PURPOSE: To evaluate the usefulness of renal resistive index(RI) in patients with liver cirrhosis as an indicator for predicting hepatorenal syndrome. MATERIALS AND METHODS: Renal RIs of thirty cirrhotic patients were analyzed using the gray-scale and Doppler ultrasonograms. As a control group, eight normal subjects were alsoincluded. Renal RIs were measured at three sites of interlobar or arcuate arteries of both kidneys. The patients were divided into three groups (A, B, or C) according to the Child-Turcotte-Pugh classification and their serum BUN and creatinine levels were compared. We determined whether RIs of normal controls differed from those of cirrhotic patients or whether RIs of cirrhotic patients correlated with the Child-Turcotte-Pugh classification or BUN and creatinine levels. RESULTS: Mean RIs(0.63 +/-0.03) of normal subjects were statistically different from those(0.67 +/-0.05) of cirrhotic patients(P=0.009). RIs of group A(n=6), B(n=9) and C(n=15) were 0.65 +/-0.03,0.65 +/-0.04 and 0.70 +/-0.04, respectively. The ANOVA test revealed statistically significant differences between the three groups(F ratio=4.472, P=0.021). RIs did not correlate with BUN or creatinine levels. CONCLUSION: RI could be used as an index for predicting hepatorenal syndrome before the renal function becomes impaired.
Arteries
;
Classification
;
Creatinine
;
Hepatorenal Syndrome*
;
Humans
;
Kidney
;
Liver Cirrhosis
;
Ultrasonography
8.Therapy for hepatorenal syndrome.
Chinese Journal of Hepatology 2003;11(10):627-627
10.Anesthetic Management of Living Related Hepatorenal Transplantation.
Jai Min LEE ; Tae Hyun KIM ; Jong Ho CHOI
Korean Journal of Anesthesiology 2002;42(1):120-124
Kidney or liver transplantation is a standard therapeutic procedure if one of these organs fail. However, the need for transplantation of both organs may arise with deterioration of organ function especially in hepatorenal syndrome patients. Hepatorenal failure patients are at increased risk for management intraoperatively, because they have complex problems such as renal failure related to volume overload, hyperkalemia, and uremic syndrome. These days, intraoperative use of hemodialysis or ultrafiltration is feasible and achieves successful result in patients undergoing hepatorenal transplantation. Recently, we experienced one case of hepatorenal transplantation. After setting for operation, renal transplantation was done first, and then liver transplantation was also done successfully without any problems of volume overload, massive transfusion and severe electrolyte disturbance. Total required volume for transfusion was packed red cell 9 units, FFP 4 units and crystalloid solution 8,600 ml. Patient was carried to the ICU after 16 hours operation, followed by the extubation 16 hours later in ICU and sent to the ward after 7 days ICU stay.
Hepatorenal Syndrome
;
Humans
;
Hyperkalemia
;
Kidney
;
Kidney Transplantation
;
Liver Transplantation
;
Renal Dialysis
;
Renal Insufficiency
;
Ultrafiltration