Review Article

Management of Renal Failure and Ascites in Patients with Cirrhosis

Table 1

Diagnostic criteria for hepatorenal syndrome.

Modified criteria for diagnosis of hepatorenal syndrome

Cirrhosis with ascites
Serum creatinine > 1.5 mg%
Absence of shock
Absence of hypovolemia (no improvement in renal function after at least 2 days of diuretic withdrawal and volume expansion with albumin in a dose of 1 gm/kg/day)
No ongoing or recent treatment with nephrotoxic drugs
Absence of intrinsic renal disease (proteinuria < 0.5 gm/day; urine RBCs < 50/HPF; normal renal ultrasound)