Abstract
Acute aggravation of chronic hepatorenal syndrome following angiography is described in a patient with recovery and long-term survival following splenorenal shunt. It is believed that this patient represents a type of hepatorenal syndrome which can be expected to tolerate shunt and recover from hepatorenal syndrome. Possible mechanisms of the pathophysiology are discussed and recommendations made on this basis for the selection of such patients for portal decompression.
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Selected References
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- Abel R. M., Beck C. H., Jr, Abbott W. M., Ryan J. A., Jr, Barnett G. O., Fischer J. E. Improved survival from acute renal failure after treatment with intravenous essential L-amino acids and glucose. Results of a prospective, double-blind study. N Engl J Med. 1973 Apr 5;288(14):695–699. doi: 10.1056/NEJM197304052881401. [DOI] [PubMed] [Google Scholar]
- BALDUS W. P., FEICHTER R. N., SUMMERSKILL W. H. THE KIDNEY IN CIRRHOSIS. I. CLINICAL AND BIOCHEMICAL FEATURES OF AZOTEMIA IN HEPATIC FAILURE. Ann Intern Med. 1964 Mar;60:353–365. doi: 10.7326/0003-4819-60-3-353. [DOI] [PubMed] [Google Scholar]
- Conn H. O. A rational approach to the hepatorenal syndrome. Gastroenterology. 1973 Aug;65(2):321–340. [PubMed] [Google Scholar]
- Dodsworth J., James J. H., Cummings M. G., Fischer J. E. Diagnosis and therapy of the hepatorenal syndrome: a tentative classification. Surg Forum. 1973;24:396–397. [PubMed] [Google Scholar]
- Epstein M., Berk D. P., Hollenberg N. K., Adams D. F., Chalmers T. C., Abrams H. L., Merrill J. P. Renal failure in the patient with cirrhosis. The role of active vasoconstriction. Am J Med. 1970 Aug;49(2):175–185. doi: 10.1016/s0002-9343(70)80073-0. [DOI] [PubMed] [Google Scholar]
- GOLDSTEIN H., BOYLE J. D. SPONTANEOUS RECOVERY FROM THE HEPATORENAL SYNDROME: REPORT OF FOUR CASES. N Engl J Med. 1965 Apr 29;272:895–897. doi: 10.1056/NEJM196504292721706. [DOI] [PubMed] [Google Scholar]
- GORNEL D. L., LANCESTREMERE R. G., PAPPER S., LOWENSTEIN L. M. Acute changes in renal excretion of water and solute in patients with Laennec's cirrhosis, induced by the administration of the pressor amine, metaraminol. J Clin Invest. 1962 Mar;41:594–603. doi: 10.1172/JCI104514. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hori M., Austen W. G., McDermott W. V. Role of Hepatic Arterial Blood Flow and Hepatic Nerves on Renal Circulation and Function: I. Acute Studies in the Dog. Ann Surg. 1965 Nov;162(5):849–862. doi: 10.1097/00000658-196511000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Iwatsuki S., Popovtzer M. M., Corman J. L., Ishikawa M., Putnam C. W., Katz F. H., Starzl T. E. Recovery from "hepatorenal syndrome" after orthotopic liver transplantation. N Engl J Med. 1973 Nov 29;289(22):1155–1159. doi: 10.1056/NEJM197311292892201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kew M. C., Limbrick C., Varma R. R., Sherlock S. Renal and intrarenal blood flow in non-cirrhotic portal hypertension. Gut. 1972 Oct;13(10):763–767. doi: 10.1136/gut.13.10.763. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Koppel M. H., Coburn J. W., Mims M. M., Goldstein H., Boyle J. D., Rubini M. E. Transplantation of cadaveric kidneys from patients with hepatorenal syndrome. Evidence for the functionalnature of renal failure in advanced liver disease. N Engl J Med. 1969 Jun 19;280(25):1367–1371. doi: 10.1056/NEJM196906192802501. [DOI] [PubMed] [Google Scholar]
- ONNIS M., SHUMACKER H. B., Jr, BOUNOUS G. Response to occlusion of the portal vein. Blood pressure and renal blood flow. Arch Surg. 1962 Dec;85:897–900. doi: 10.1001/archsurg.1962.01310060033008. [DOI] [PubMed] [Google Scholar]
- Schroeder E. T., Numann P. J., Chamberlain B. E. Functional renal failure in cirrhosis. Recovery after portacaval shunt. Ann Intern Med. 1970 Jun;72(6):923–928. doi: 10.7326/0003-4819-72-6-923. [DOI] [PubMed] [Google Scholar]
- Sugerman H. J., Berkowitz H. D., Davidson D. T., Miller L. D. Treatment of the hepatorenal syndrome with metaraminol. Surg Forum. 1970;21:359–361. [PubMed] [Google Scholar]
- Tristani F. E., Cohn J. N. Systemic and renal hemodynamics in oliguric hepatic failure: effect of volume expansion. J Clin Invest. 1967 Dec;46(12):1894–1906. doi: 10.1172/JCI105679. [DOI] [PMC free article] [PubMed] [Google Scholar]