Hepatorenal syndrome treated for eight months with continuous-flow peritoneal dialysis

Elliot Charen, Kobena Dadzie, Nijal Sheth, Hira Siktel, Alan Dubrow, Nikolas Harbord, James Winchester, Claudio Ronco, Richard Amerling
2013 Advances in peritoneal dialysis. Conference on Peritoneal Dialysis  
The case documented here represents the longest course of continuous-flow peritoneal dialysis (PD) reported in the literature. A 61-year-old man with hepatorenal syndrome type 1 and ascites presented with hypotension and bright red blood per rectum and was found to be in acute renal failure with severe anemia. Continuous-flow PD was initiated, and the patient improved clinically. The patient died of a jejunal bleed 8 months later, before discharge. Acute PD or continuous-flow PD is a viable
more » ... PD is a viable alternative in the setting of hemodynamic instability and ascites, can be used as a chronic modality, and addresses many of the weaknesses of continuous ambulatory and automated PD.
pmid:24344489 fatcat:bru4hs5aafd7lnwoezipvwbfyq