What is the management of hepatorenal syndrome?

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Management of Hepatorenal Syndrome

Terlipressin plus albumin is the first-line pharmacological treatment for type 1 hepatorenal syndrome (HRS-AKI), while liver transplantation remains the definitive treatment for all types of HRS. 1

Diagnostic Criteria

  • HRS diagnosis requires excluding other causes of acute kidney injury in cirrhotic patients with advanced cirrhosis with ascites, serum creatinine >1.5 mg/dL, no improvement after at least 2 days of diuretic withdrawal and volume expansion with albumin, absence of shock, no current/recent nephrotoxic drug exposure, and absence of parenchymal kidney disease 1, 2

  • Diagnostic paracentesis should be performed to rule out spontaneous bacterial peritonitis, which can precipitate HRS, in patients with advanced cirrhosis and ascites 1

  • Two types of HRS are recognized: Type 1 HRS (HRS-AKI) characterized by rapid, progressive renal impairment, and Type 2 HRS with a more chronic course 2

Treatment Algorithm

First-Line Therapy

  • Terlipressin plus albumin is the first-line pharmacological treatment for type 1 HRS, with an initial dose of 1 mg IV every 4-6 hours 1, 2
  • Dose should be increased stepwise to a maximum of 2 mg every 4 hours if serum creatinine doesn't decrease by at least 25% after 3 days 1
  • Treatment should continue until complete response or maximum 14 days for partial response 2
  • Terlipressin in intravenous continuous infusion is better tolerated than intravenous boluses and has the same efficacy 3

Alternative Therapies

  • In regions where terlipressin is unavailable, midodrine plus octreotide plus albumin is recommended as an alternative treatment for type 1 HRS 1, 2

    • Midodrine should be titrated up to 12.5 mg orally three times daily 1
    • Octreotide should be administered at 200 μg subcutaneously three times daily 1
    • Albumin should be administered at 10-20 g IV daily for up to 20 days 1
  • Norepinephrine plus albumin is another treatment option for type 1 HRS, but requires an ICU setting, with a goal to increase mean arterial pressure by 15 mmHg 1, 2

Definitive Treatment

  • Liver transplantation is the definitive treatment for both type 1 and type 2 HRS 1, 4, 2
  • Expedited referral for transplantation is recommended for patients with type 1 HRS 1, 2
  • Post-transplant survival rates are approximately 65% in type 1 HRS 1, 4

Bridging Therapies

  • Continuous venovenous hemofiltration/hemodialysis may be considered as a bridge to liver transplantation in selected patients with type 1 HRS 1
  • Transjugular intrahepatic portosystemic shunt (TIPS) has been reported to be effective in type 1 HRS in limited studies, but more evidence is needed 1

Prevention of HRS

  • Albumin infusion with antibiotics when treating spontaneous bacterial peritonitis helps prevent HRS 2
  • Norfloxacin (400 mg/day) is recommended to reduce the incidence of HRS in advanced cirrhosis 1, 2
  • Pentoxifylline (400 mg three times daily) is recommended to prevent HRS development in patients with severe alcoholic hepatitis 1, 2
  • Avoiding nephrotoxic drugs in patients with advanced cirrhosis is essential 2

Monitoring and Management

  • Careful monitoring of urine output, fluid balance, arterial pressure, and standard vital signs is essential 4
  • Patients with type 1 HRS are generally better managed in intensive or semi-intensive care units 4

Prognosis

  • Untreated HRS has poor prognosis, with median survival of untreated type 1 HRS approximately 1 month 4
  • High MELD scores and type 1 HRS are associated with very poor prognosis 4
  • Serum bilirubin and creatinine levels, increase in blood pressure, and presence of systemic inflammatory response syndrome have been identified as predictors of response to treatment 3

Important Considerations and Pitfalls

  • Terlipressin is effective in reversing HRS in only 40%-50% of patients 3, 5
  • Differentiating HRS from acute tubular necrosis (ATN) is often challenging yet important because vasoconstrictors are not justified for the treatment of ATN 6
  • HRS and ATN may be considered as a continuum rather than distinct entities 6
  • Emerging biomarkers may help differentiate these conditions and provide prognostic information on kidney recovery after liver transplantation 6

References

Guideline

Management of Hepatorenal Syndrome

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Diagnostic Criteria and Treatment Options for Hepatorenal Syndrome

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Hepatorenal syndrome: Update on diagnosis and therapy.

World journal of hepatology, 2017

Guideline

Management of Hepatorenal Syndrome in Obstructive Liver Disease

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Hepatorenal syndrome: a severe, but treatable, cause of kidney failure in cirrhosis.

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2012

Research

Hepatorenal Syndrome.

Clinical journal of the American Society of Nephrology : CJASN, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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