title: Challenges in Renal Failure Treatment Before Liver Transplant.
abstract: Acute kidney injury (AKI) is common in patients with cirrhosis and ascites on the waiting list for liver transplant. Hepatorenal syndrome (HRS) is an important cause of AKI among cirrhotics. A dynamic definition of AKI in patients with cirrhosis has been introduced and changed the diagnosis criteria. Liver transplantation remains the better option but the medical management of HRS has changed. Terlipressin plus albumin is currently the gold standard. Surgery and liver or kidney support systems have been recommended. Clinical trials will assess the most appropriate approach for the treatment of HRS in light of the revised diagnostic criteria.
authors.affiliation: Division of Nephrology, Maggiore Hospital, IRCCS Foundation, Pad. Croff, Via Commenda 15, 20122 Milano, Italy. Electronic address: fabrizi@policlinico.mi.it.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Fabrizi
authors.affiliation: Division of Nephrology, Maggiore Hospital, IRCCS Foundation, Pad. Croff, Via Commenda 15, 20122 Milano, Italy.
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Messa
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy*; D019468:Disease Management; D006530:Hepatorenal Syndrome / Q000150:complications / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation; D011300:Preoperative Care / Q000379:methods*
keywords: Acute kidney injury; Cirrhosis; Hepatorenal syndrome; Liver transplant; Survival; Terlipressin