| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000413471 |
| ISSN: | 1665-2681 |
| Authors: | Husain Syed, Faeq1 Muciño Bermejo, María Jimena1 Ronco, Claudio1 Seeger, Werner2 Birk, Horst-Walter2 |
| Institutions: | 1Istituto Internazionale di Ricerca Renali, Ospedale San Bortolo, Vicenza, Veneto. Italia 2University Clinic Giessen and Marburg, Department of Internal Medicine II, Giessen, Hessen. Alemania |
| Year: | 2015 |
| Season: | Nov-Dic |
| Volumen: | 14 |
| Number: | 6 |
| Pages: | 929-932 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Pulmonary hypertension is a common finding in patients with advanced liver disease. Similarly, among patients with advanced pulmonary arterial hypertension, right heart failure leads to congestive hepatopathy. Diuretic resistant fluid overload in both advanced pulmonary hypertension and chronic liver disease is a demanding challenge for physicians. Venous congestion and ascites-induced increased intra-abdominal pressure are essential regarding recurrent hospitalization, morbidity and mortality. Due to impaired rightventricular function, many patients cannot tolerate extracorporeal ultrafiltration. Peritoneal dialysis, a well-established, hemodynamically tolerated treatment for outpatients may be a good alternative to control fluid status. We present a patient with pulmonary arterial hypertension and congestive hepatopathy hospitalized for over 3 months due to ascites induced refractory volume overload treated with peritoneal ultrafiltration. We report the treatment benefits on fluid balance, cardiorenal and pulmonary function, as well as its safety. In conclusion, we report a case in which peritoneal ultrafiltration was an efficient treatment option for refractory ascites in patients with congestive hepatopathy |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Sistema cardiovascular, Hepatopatía congestiva, Hipertensión arterial pulmonar, Síndrome hepatorrenal, Diuresis |
| Keyword: | Medicine, Cardiovascular system, Gastroenterology, Congestive hepatopathy, Pulmonary arterial hypertension, Hepatorenal syndrome, Diuresis |
| Full text: | Texto completo (Ver PDF) |
