The Kidney in Pediatric Liver Disease

Robyn Greenfield Matloff, Ronen Arnon

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations

Abstract

There is an intricate relationship between the liver and the kidney, with renal physiology and function intimately involved in many primary disorders of pediatric liver disease. The hemodynamic changes of progressive cirrhosis affect and are directly affected by changes in renal blood flow and renal handling of sodium and free water excretion. Resulting complications of worsening ascites, hyponatremia, and acute kidney injury frequently complicate the care of children with advanced liver disease and contribute significant morbidity and mortality. While liver transplantation may restore hemodynamic stability, nearly 40 % of pediatric liver transplant recipients develop chronic kidney disease post-transplant and approximately 25 % are left with clinical hypertension. This review seeks to provide a basic understanding of this relationship to enable the provision of optimal care to children with liver disease.

Original languageEnglish
Article number36
JournalCurrent Gastroenterology Reports
Volume17
Issue number9
DOIs
StatePublished - 21 Sep 2015

Keywords

  • Acute kidney injury
  • Ascites
  • Chronic kidney disease
  • Cirrhosis
  • Hypertension
  • Hyponatremia
  • Liver transplantation
  • Pediatric

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