Case Reports
doi: 10.1007/s004679900268.
Chronic renal failure and portal hypertension--is portosystemic shunt indicated?
Affiliations
- PMID: 10955945
- DOI: 10.1007/s004679900268
Item in Clipboard
Case Reports
Chronic renal failure and portal hypertension--is portosystemic shunt indicated?
Pediatr Nephrol.
2000 Aug.
Abstract
We report two girls with histories of recessive polycystic kidney disease. Both were on maintenance hemodialysis. They had undergone surgical distal portocaval shunt because of portal hypertension. Later, bilateral nephrectomy was performed, and they presented with hepatic encephalopathy (HE) and evolution towards irreversible hepatic coma and death. Portosystemic shunt is the treatment of choice of portal hypertension. The kidney plays a pivotal role in ammonia disposal during portosystemic shunt. Thus, we stress the risk of HE after portosystemic shunt followed by bilateral nephrectomy in patients with end-stage renal failure and suggest that combined liver-kidney transplantation should be considered.
Similar articles
-
Transjugular intrahepatic portosystemic shunt prior to renal transplantation in a child with autosomal-recessive polycystic kidney disease and portal hypertension: A case report.Pediatr Transplant. 2001 Jun;5(3):210-4. doi: 10.1034/j.1399-3046.2001.00061.x. Pediatr Transplant. 2001. PMID: 11422825
-
Long-term outcome of transjugular intrahepatic portosystemic shunt for portal hypertension in autosomal recessive polycystic kidney disease.Dig Liver Dis. 2018 Jul;50(7):707-712. doi: 10.1016/j.dld.2018.03.009. Epub 2018 Mar 15. Dig Liver Dis. 2018. PMID: 29622386
-
Portosystemic shunting in children during the era of endoscopic therapy: improved postoperative growth parameters.J Pediatr Gastroenterol Nutr. 2000 Apr;30(4):419-25. doi: 10.1097/00005176-200004000-00013. J Pediatr Gastroenterol Nutr. 2000. PMID: 10776954
-
[Hepatic encephalopathy after portosystemic bypass surgery].Khirurgiia (Mosk). 2023;(7):57-65. doi: 10.17116/hirurgia202307157. Khirurgiia (Mosk). 2023. PMID: 37379406 Review. Russian.
-
A rare case of hemodialysis-related portosystemic encephalopathy and review of the literature.Acta Clin Belg. 2020 Aug;75(4):296-300. doi: 10.1080/17843286.2019.1595836. Epub 2019 Mar 28. Acta Clin Belg. 2020. PMID: 30919753 Review.
Cited by
-
Transplantation in autosomal recessive polycystic kidney disease: liver and/or kidney?Pediatr Nephrol. 2015 Aug;30(8):1233-42. doi: 10.1007/s00467-014-2887-3. Epub 2014 Aug 13. Pediatr Nephrol. 2015. PMID: 25115876 Review.
-
Fibrocystic liver disease: novel concepts and translational perspectives.Transl Gastroenterol Hepatol. 2021 Apr 5;6:26. doi: 10.21037/tgh-2020-04. eCollection 2021. Transl Gastroenterol Hepatol. 2021. PMID: 33824930 Free PMC article. Review.
-
The spectrum of polycystic kidney disease in children.Adv Chronic Kidney Dis. 2011 Sep;18(5):339-47. doi: 10.1053/j.ackd.2011.05.001. Adv Chronic Kidney Dis. 2011. PMID: 21896375 Free PMC article. Review.
-
New approaches to the autosomal recessive polycystic kidney disease patient with dual kidney-liver complications.Pediatr Transplant. 2013 Jun;17(4):328-35. doi: 10.1111/petr.12076. Epub 2013 Apr 17. Pediatr Transplant. 2013. PMID: 23593929 Free PMC article. Review.
-
Clinical manifestations of autosomal recessive polycystic kidney disease (ARPKD): kidney-related and non-kidney-related phenotypes.Pediatr Nephrol. 2014 Oct;29(10):1915-25. doi: 10.1007/s00467-013-2634-1. Epub 2013 Oct 10. Pediatr Nephrol. 2014. PMID: 24114580 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
