HEPATORENAL SYNDROME: DIAGNOSTIC AND THERAPEUTIC MANAGEMENT

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Abstract

The practical guidelines on diagnosis and management of hepatorenal syndrome, which could be useful for general medical practitioners, gastroenterologists, and hepatologists, are considered in this paper. Selected recommendations are based on integrated clinical data, international recommendations and results of clinical trials. Beginning from theoretical grounds of hepatorenal syndrome (its definition, diagnostic criteria, and classification), acute kidney injury, and spontaneous bacterial peritonitis, the paper contains diagnostic algorithms (in particular, in ascites, for early revealing hepatorenal syndrome), and main approaches to therapy and prevention. The efficacy criteria and monitoring rules for the terlipressin-based therapy are listed.

About the authors

I. G. Bakulin

Moscow Clinical Scientific Center, Moscow Health Care Department; 86 Shosse Entuziastov, Moscow, 111123, Russian Federation
Medical Institute of Postgraduate Education, Moscow State University of Food Production; 11 Volokolamskoe sh., Moscow, 125080, Russian Federation

Author for correspondence.
Email: igbakulin@yandex.ru

д-р мед. наук, профессор, зав. отделом гепатологии ГБУЗ МКНЦ ДЗМ, зав. кафедрой гастроэнтерологии МИУВ ФГБОУ ВПО «МГУПП»

Russian Federation

A. A. Varlamicheva

Moscow Clinical Scientific Center, Moscow Health Care Department; 86 Shosse Entuziastov, Moscow, 111123, Russian Federation

Email: fake@neicon.ru
мл. науч. сотр. отдела гепатологии ГБУЗ МКНЦ ДЗМ Russian Federation

References

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Copyright (c) 2014 Bakulin I.G., Varlamicheva A.A.

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