Síndrome hepatorrenal en asociación con hepatopatía alcohólica, revisión bibliográfica

Abstract

Hepatorenal syndrome is an acute renal lesion in which histologically there is no evidence of structural abnormalities in the kidneys, as a consequence of acute decompensation of cirrhosis, mainly of alcoholic etiology. Its pathophysiology is not yet fully defined; however, its progression is of rapid onset and is associated with complications which, if not treated promptly, have high morbimortality. In Ecuador, local studies show that emergent care for hepatorenal complications secondary to alcoholic etiology are frequent in the clinical area. The definitive treatment for hepatorenal syndrome, both type 1 and 2, is liver transplantation. Currently, medical progress has given way to the study of other therapeutic alternatives such as terlipressin and even the use of probiotics for regenerative purposes.