A 48-year-old man with cirrhosis and a MELD score of 28 is listed for liver transplant. He develops progressive renal impairment consistent with HRS-A...

Question

A 48-year-old man with cirrhosis and a MELD score of 28 is listed for liver transplant. He develops progressive renal impairment consistent with HRS-AKI despite terlipressin and albumin. His creatinine is now 350 µmol/L. What is the most definitive treatment for his HRS-AKI?

Accepted Answer

Renal replacement therapy as a bridge to liver transplantation

Answer

Start noradrenaline infusion

Answer

Continue terlipressin at maximum dose

Answer

Midodrine and octreotide combination

Answer

Peritoneovenous shunt

uk-sce-gastroenterology MCQ (SBA): Hepatorenal Syndrome

A 48-year-old man with cirrhosis and a MELD score of 28 is listed for liver transplant. He develops progressive renal impairment consistent with HRS-AKI despite terlipressin and albumin. His creatinine is now 350 µmol/L. What is the most definitive treatment for his HRS-AKI?