Study of Complications of Liver Cirrhosis with Special Reference to Hepatorenal Syndrome: A Prospective Study from Central India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 4
Abstract
Despite its functional nature, hepatorenal syndrome (HRS) is associated with a poor prognosis and the only effective treatment is liver transplantation. It is very important to diagnose renal impairment in cirrhosis patients at an early stage before overt HRS develops. To study and compare demographic, clinical, biochemical parameters between different complications of liver cirrhosis with special reference to HRS. Hundred liver cirrhosis patients were studied in J.A. Group of Hospitals, Gwalior from November 2014 to September 2016. Detailed history, chief complaints, history of present and past illness, personal history, occupational history, family history, drug and addiction history was taken. General and systemic examination of patients was done. All routine investigation like renal function test, liver function test, urine R/M, USG abdomen, renal color doppler, was performed after dividing patients into Group A (patients with compensated liver cirrhosis), Group B (patients with decompensated cirrhosis responsive to diuretics), Group C (patients with decompensated cirrhosis resistant to diuretics) and Group D (patients with hepatorenal syndrome). Male preponderance (84%) was observed with mean age of 45.34±13.98 years. Most of the patients had decompensated cirrhosis (n=97). Most common cause of liver cirrhosis was alcohol (n=68). Blood urea (n=12) and serum creatinine (n=13) was higher in patients with HRS. Hepatic Encephalopathy was more common in HRS patients (n=8). Out of 11 patients with spontaneous bacterial peritonitis (SBP), 27.27% patient found to have hepatorenal syndrome. HRS is common among male patients who consume alcohol. Blood urea and serum creatinine were increased. Hepatic Encephalopathy and SBP were common fining in HRS in liver cirrhosis patients.
Authors and Affiliations
Dr. Anvesh Singh Parmar, Dr. Jitendra Rajput
Keywords
Related Articles
- EP ID EP486651
- DOI -
- Views 60
- Downloads 0
Neonatal Graves` Disease-A Case Report
Neonatal Graves’ disease is a rare disorder seen in 1% of the offspring of mothers with either established or cured Graves’ disease (GD). It results from the transplacental transfer of thyroid stimulating immunoglobulins...
Routine Second Transurethral Resection of Bladder Tumor in T1 and High Grade Urothelial Carcinoma with Muscle Present In Biopsy – Is It Necessary in All Cases?
Abstract:Second transurethral resection of bladder tumour (TURBT) after primary TURBT is recommended after incomplete initial TURBT, when detrusor is not present in specimen. Routine restage – TURBT from the base of revi...
Porocarcinoma presenting as soft tissue swelling on the back: A case report
Abstract: Porocarcinoma(PC) is a rare malignant ductal carcinoma of sweat gland. It is predominantly seen in elderly patients with mean age of presentation of 67 years. Lesions are not clinically distinctive. It is most...
Clinical Profile and Outcome of PCOS in Rural Population
Abstract: Polycystic ovary syndrome (PCOS) has turned out to be a common clinical and public health problem in last few decades. It is estimated that approximately one in every five women of reproductive age are affected...
Microbiological Infectivity in Medical Laboratory Benghazi, Libya
Abstract: We surveyed environmental surfaces in our clinical microbiology laboratory one at Reference laboratory, Benghazi and other at Pediatric Hospital Laboratory to determine bacterial contamination during a routine...