Abstract
IntroductionRenal dysfunction is a frequent complication in cirrhotic patients and it is an indicator of poor prognosis if it is not identified and treated early. Patients with cirrhosis have multiple risk factors to develop an acute kidney injury. PathogenyThe most common causes of acute kidney injury in cirrhosis are pre-renalazotemia, acute tubular necrosis and type 1 hepatorenal syndrome. TreatmentEach type of renal disease has a specific treatment approach ranging from expansion of intravascular volume to renal replacement therapy. The treatment of type 1 hepatorenal syndrome is a combination of vasoconstrictor with albumin, which is effective in about 50% patients. Type 2 hepatorenal syndrome is a more stable renal dysfunction, slowly progressive, and is related with refractory ascites.
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