Quick Tips: Hepatorenal Syndrome

You've mastered ascites and SBP. Even bleeding esophageal varices seem less daunting. 

Now, get ready to learn about HRS!

Links to the referenced articles

Angeli P, et al. Gut 2015 - definition, diagnosis and management of HRS

Angeli P, et al. J Hepatology 2019 - definition of HRS and AKI

Cavallin M, et al. Hepatology 2015 - randomized controlled trial showing terlipressin +albumin > octreotide+midodrine+ albumin

Singh V, et al. J Hepatol 2012 - randomized controlled trial demonstrating norepinephrine may be as beneficial as terlipressin

Esrailian E, et al. Dig Dis Sci 2007  - retrospective study comparing octreotide + midodrine to control group 

Ortega R, et al. J Hepatol 2002 - importance of albumin in treatment of HRS