17. Variceal Bleeding, Infections and the Hepatorenal Syndrome

  1. Roberto de Franchis MD, AGAF Professor of Gastroenterology Head
  1. Richard Moreau MD

Published Online: 17 NOV 2010

DOI: 10.1002/9781444393989.ch17

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition

How to Cite

Moreau, R. (2011) Variceal Bleeding, Infections and the Hepatorenal Syndrome, in Portal Hypertension V: Proceedings of the Fifth Baveno International Consensus Workshop, Fifth Edition (ed R. de Franchis), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444393989.ch17

Editor Information

  1. Department of Medical Sciences, University of Milan, and Gastroenterology 3 Unit, IRCCS Ca' Granda Ospedale Maggiore Policlinico Mangiagalli and Regina Elena Foundation, Milan, Italy

Author Information

  1. Inserm U773, Centre de Recherche Biomédicale Bichat-Beaujon CRB3, Université Denis Diderot Paris 7, and Department of Hepatology, Hôpital Beaujon, Clichy, France

Publication History

  1. Published Online: 17 NOV 2010
  2. Published Print: 14 JAN 2011

ISBN Information

Print ISBN: 9781444334494

Online ISBN: 9781444393989

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Keywords:

  • variceal bleeding, infections and hepatorenal syndrome;
  • variceal haemorrhage and bacterial infections - complications of cirrhosis, triggering not only hepatorenal syndrome (HRS);
  • causes of acute kidney injury (AKI);
  • AKI syndrome, acute decline in glomerular filtration rate (GFR) - alteration of extracellular fluid volume, electrolyte and acid-base homeostasis;
  • prerenal AKI, intravascular volume depletion - with hypotension or true hypovolaemic shock;
  • prerenal AKI, in patients with bacterial infection;
  • intravascular volume depletion and hypotension - hypovolaemic shock;
  • “intrinsic” causes of AKI;
  • best treatment for HRS, being liver transplantation - patients with HRS, higher in-hospital mortality rate than those without HRS;
  • patients with variceal haemorrhage - AKI via different mechanisms, including HRS

Summary

This chapter contains sections titled:

  • Introduction

  • Causes of AKI

  • Diagnosis of HRS

  • Treatment of type 1 HRS

  • Prevention of type 1 HRS

  • Conclusions

  • References