Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 28 May 2018

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Predicting renal function after orthotopic liver transplant

Duration of pretransplantation creatinine elevation, but not cause of renal dysfunction predicts renal outcome in orthotopic liver transplantation alone recipients, finds the most recent issue of Liver Transplantation.

News image

fiogf49gjkf04

In patients with recent onset renal insufficiency, the decision to perform combined kidney/liver transplantation vs orthotopic liver transplantation alone can be difficult.

Dr Rajender Reddy and colleagues hypothesized that duration of renal dysfunction may correlate with creatinine elevation after liver transplantation.

The researchers retrospectively identified 69 liver transplantation patients with pretransplantation creatinine 1.5 mg/dL.

The team included 53 patients with orthotopic liver transplantation alone, and 13 combined kidney/liver transplantation.

Variables analyzed were presence of hepatorenal syndrome, creatinine, Model for End-Stage Liver Disease score, and albumin levels.

The researchers also analyzed age, race, gender, cause of liver disease, diabetes mellitus, hypertension, history of ascites, and spontaneous bacterial peritonitis.

Creatinine levels in the orthotopic liver transplantation alone group were 2 mg/L
Liver Transplantation

In addition, variceal bleeding, hepatic encephalopathy, renal replacement therapy, and transjugular intrahepatic portosystemic shunting were assessed.

The team reported that duration of pretransplantation renal dysfunction was predictive of 6- and 12-month creatinine post- orthotopic liver transplantation alone.

The researchers found that area under the receiver operating characteristic curve for prediction of 12-month renal insufficiency by renal dysfunction duration was 0.7.

The team noted that optimal duration cutoff was 4 weeks.

A multivariable model was derived from patients with orthotopic liver transplantation alone.

The team applied this model to combined kidney/liver transplantation subjects with definite or possible hepatorenal syndrome.

The research team observed that predicted 12-month creatinine without renal transplantation was more than 2 mg/dL for each patient.

Combined kidney/liver transplantation patients as opposed to orthotopic liver transplantation alone patients had longer duration of renal dysfunction of 18 vs 3 weeks.

The team found that patients with combined kidney/liver transplantation had higher creatinine levels of 4 mg/dL vs 2 mg/dL in the orthotopic liver transplantation alone group.

Patients with combined kidney/liver transplantation had a higher rate of pretransplantation renal replacement therapy, of 62% vs 7%.

Combined kidney/liver transplantation patients had lower creatinine than orthotopic liver transplantation alone patients at 6 months and 12 months after transplantation.

Dr Rajender Reddy's team concluded, “Duration, but not cause, of renal dysfunction predicts renal outcome in orthotopic liver transplantation alone recipients.”

“Prospective studies may use duration of renal dysfunction to help identify combined kidney/liver transplantation candidates.”

Liv Transplant 2005: 11(9): 1048-55
30 August 2005

Go to top of page Email this page Email this page to a colleague

 28 May 2018 
Therapeutic strategies for HCV
 28 May 2018 
Mesalazine in ulcerative colitis
 28 May 2018 
Technology and management of digestive diseases
 25 May 2018 
Technology to increase colorectal cancer screening
 25 May 2018 
Post‐operative complications in elderly IBD
 25 May 2018 
Colorectal cancer–specific mortality
 24 May 2018 
Alcohol consumption and outcomes in drug-induced liver injury
 24 May 2018 
Patient-reported outcome measures in IBD trials
 24 May 2018 
Precision medicine for tumors
 23 May 2018 
Management of perianal fistulas in Crohn’s disease
 23 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 23 May 2018 
High body mass index is and ulcerative colitis
 22 May 2018 
Worldwide H.pylori prevalence
 22 May 2018 
PPI and risk of stroke
 22 May 2018 
Online tool predicts bowel dysfunction severity prior to anterior resection
 21 May 2018 
PPI use and cognitive decline
 21 May 2018 
Depressive symptoms in IBD youth
 21 May 2018 
Fecal incontinence and quality of life in IBD
 18 May 2018 
Esophageal dilatation in clinical practice 
 17 May 2018 
IBD and later extraintestinal manifestations
 17 May 2018 
Repeat stool DNA testing
 17 May 2018 
IBS and chronic fatigue following GI infection
 16 May 2018 
Factors associated with fecal incontinence
 16 May 2018 
Diagnostic delay in Crohn's disease
 16 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 15 May 2018 
Guidelines for management of Crohn's
 15 May 2018 
New therapies for CDI
 15 May 2018 
Hep B in the Grey Zone
 14 May 2018 
Blood test for the diagnosis of fibrotic NASH
 14 May 2018 
Outcomes at bariatric centers of excellence
 14 May 2018 
Management of perianal fistulas in Crohn’s
 11 May 2018 
Detection of undiagnosed celiac disease
 11 May 2018 
Alcohol consumption and drug-induced liver injury
 10 May 2018 
Colorectal cancer screening
 10 May 2018 
Fibrosis in patients with chronic hepatitis B
 09 May 2018 
Fecal incontinence
 09 May 2018 
Health problems and IBS
 09 May 2018 
Esophageal dilatation in clinical practice 
 07 May 2018 
Omitting antibiotics in uncomplicated acute diverticulitis
 07 May 2018 
Health problems and IBS
 07 May 2018 
Assessment of diminutive colorectal polyps
 04 May 2018 
National Institutes of Health workshop and obesity
 04 May 2018 
Factors associated with fecal incontinence
 04 May 2018 
Colorectal cancer screening and ethnic inequities
 03 May 2018 
Gastrointestinal ultrasound in IBD
 03 May 2018 
Ultransonography in postsurgical recurrence in Crohn's
 02 May 2018 
Symptom assessment in cirrhotic ascites
 02 May 2018 
Hep C antiviral treatment and liver cancer risk
 02 May 2018 
Chronic Hep B
 01 May 2018 
European guidelines on pancreatic cystic neoplasms
 01 May 2018 
Interferon‐free regimens in Hep C
 01 May 2018 
Age at IBD onset and extraintestinal complications
 30 April 2018 
Formula for preterm infants
 30 April 2018 
Primary antibiotic resistance and sequential therapy for H. pylori
 27 April 2018 
Eastern and western practices for endoscopic resection of colorectal lesions
 27 April 2018 
Anxiety scale for chronic esophageal disease
 27 April 2018 
Disease activity in eosinophilic esophagitis
 26 April 2018 
Obesity and physical activity in diverticulosis
 26 April 2018 
Primary sclerosing cholangitis in the USA
 25 April 2018 
Aspirin and pancreatic cancer

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us