Cirrhosis and its complications: Evidence based treatment

Table 1 Diagnostic criteria for hepatorenal syndrome

Chronic or acute hepatic disease with advanced hepatic failure and portal hypertension

Serum creatinine > 1.5 mg/dL

No sustained improvement of serum creatinine after at least 2 d of diuretic withdrawal and volume expansion with albumin or isotine saline

Absence of shock

No current or recent treatment with nephrotoxic drugs

Absence of parenchymal disease as indicated by proteinuria > 500 mg/d microhematuria (> 50 red blood cells per high-power field) and/or abnormal renal ultrasonography