Figure 2.

Approach to renal dysfunction in a cirrhotic awaiting liver transplantation with non-alcoholic fatty liver disease. Patients with non-alcoholic liver disease should be stratified based on risk factors i.e., advanced age, obesity, diabetes mellitus, dyslipidemia and hypertension and also those with prior AKI for possible CKD. In patients with risk factors and diagnosis of chronic kidney disease (CKD), the decision to proceed for simultaneous liver-kidney transplant should be done while in the remaining liver transplant alone with close follow up of kidney functions both intra and postoperatively should be done.