Hepatorenal syndrome - Long-term treatment with terlipressin as a bridge to liver transplantation

被引:63
作者
GanneCarrie, N [1 ]
Hadengue, A [1 ]
Mathurin, P [1 ]
Durand, F [1 ]
Erlinger, S [1 ]
Benhamou, JP [1 ]
机构
[1] HOP BEAUJON,SERV HEPATOL,CLICHY,FRANCE
关键词
cirrhosis; hepatorenal syndrome; terlipressin;
D O I
10.1007/BF02088218
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In patients with hepatorenal syndrome (HRS), 4-hr administration of a vasopressin analog has recently been shown to benefit renal blood flow and renal function. However, long-term effects and tolerance of this treatment have not been reported. We report a case of HRS that was controlled by the vasopressin analog, terlipressin. Because HRS repeatedly relapsed when treatment was discontinued, terlipressin, 2 mg/day was administered for 67 days, until liver transplantation could be performed in a patient with normal renal function. Except for limited cutaneous necrosis at an injection point, prolonged treatment with this vasopressin analog was well tolerated.
引用
收藏
页码:1054 / 1056
页数:3
相关论文
共 7 条
[1]   TREATMENT OF REFRACTORY ASCITES [J].
EPSTEIN, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (24) :1675-1677
[2]   SYSTEMIC AND REGIONAL HEMODYNAMICS IN PATIENTS WITH LIVER-CIRRHOSIS AND ASCITES WITH AND WITHOUT FUNCTIONAL RENAL-FAILURE [J].
FERNANDEZSEARA, J ;
PRIETO, J ;
QUIROGA, J ;
ZOZAYA, JM ;
COBOS, MA ;
RODRIGUEZEIRE, JL ;
GARCIAPLAZA, A ;
LEAL, J .
GASTROENTEROLOGY, 1989, 97 (05) :1304-1312
[3]  
GERBES A L, 1990, Gastroenterology, V98, pA588
[4]   ENHANCEMENT OF RENAL-FUNCTION WITH ORNIPRESSIN IN A PATIENT WITH DECOMPENSATED CIRRHOSIS [J].
LENZ, K ;
DRUML, W ;
KLEINBERGER, G ;
HORTNAGL, H ;
LAGGNER, A ;
SCHNEEWEISS, B ;
DEUTSCH, E .
GUT, 1985, 26 (12) :1385-1386
[5]   BENEFICIAL EFFECT OF 8-ORNITHIN VASOPRESSIN ON RENAL DYSFUNCTION IN DECOMPENSATED CIRRHOSIS [J].
LENZ, K ;
HORTNAGL, H ;
DRUML, W ;
GRIMM, G ;
LAGGNER, A ;
SCHNEEWEISZ, B ;
KLEINBERGER, G .
GUT, 1989, 30 (01) :90-96
[6]   ORNIPRESSIN IN THE TREATMENT OF FUNCTIONAL RENAL-FAILURE IN DECOMPENSATED LIVER-CIRRHOSIS - EFFECTS ON RENAL HEMODYNAMICS AND ATRIAL-NATRIURETIC-FACTOR [J].
LENZ, K ;
HORTNAGL, H ;
DRUML, W ;
REITHER, H ;
SCHMID, R ;
SCHNEEWEISS, B ;
LAGGNER, A ;
GRIMM, G ;
GERBES, AL .
GASTROENTEROLOGY, 1991, 101 (04) :1060-1067
[7]   PERIPHERAL ARTERIAL VASODILATION HYPOTHESIS - A PROPOSAL FOR THE INITIATION OF RENAL SODIUM AND WATER-RETENTION IN CIRRHOSIS [J].
SCHRIER, RW ;
ARROYO, V ;
BERNARDI, M ;
EPSTEIN, M ;
HENRIKSEN, JH ;
RODES, J .
HEPATOLOGY, 1988, 8 (05) :1151-1157