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Revista Colombiana de Nefrología
On-line version ISSN 2500-5006
Abstract
AMADOR, Annia Cristina et al. Hepatorenal syndrome: Literature review. Rev. colom. nefrol. [online]. 2022, vol.9, n.1, 301. Epub Jan 01, 2022. ISSN 2500-5006. https://doi.org/10.22265/acnef.9.1.539.
Background:
Hepatorenal syndrome is a renal dysfunction that occurs in patients with chronic liver disease such as liver cirrhosis or acute liver disease, characterized by the activation of regulatory mechanisms that lead to a decrease in the glomerular filtration rate. Clinically, hepatorenal syndrome is divided into two types, type 1 and type 2. Type 1 is characterized by a rapid and progressive loss of kidney function while type 2 is characterized by slow progression and a better prognosis.
Purpose:
To analyze the natural history of the disease presented by patients who develop hepatorenal syndrome.
Methodology:
A review of the scientific literature of published manuscripts on hepatorenal syndrome was carried out to evaluate the natural history of this pathology.
Results:
There are no specific clinical findings, however, its clinical manifestations reflect the underlying advanced liver disease, kidney failure, and circulatory abnormalities present.
Conclusions:
The most appropriate therapeutic option is liver transplantation, but not all patients can receive it, while accessing said management an option is drug treatment with vasoconstrictors and albumin.
Keywords : Hepatorenal syndrome; liver cirrhoris; renal failure; diagnosis..