Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis

End-stage kidney disease and advanced cirrhosis are sometimes seen concomitantly. There is no consensus on dialysis modality in terms of determining the optimal way of treating these patients. It has been suggested that peritoneal dialysis is a better choice for these patients, but efficacy of hemod...

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Main Authors: Suleyman Koz, Idris Sahin, Zafer Terzi, Sema Tulay Koz
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/375456
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author Suleyman Koz
Idris Sahin
Zafer Terzi
Sema Tulay Koz
author_facet Suleyman Koz
Idris Sahin
Zafer Terzi
Sema Tulay Koz
author_sort Suleyman Koz
collection DOAJ
description End-stage kidney disease and advanced cirrhosis are sometimes seen concomitantly. There is no consensus on dialysis modality in terms of determining the optimal way of treating these patients. It has been suggested that peritoneal dialysis is a better choice for these patients, but efficacy of hemodialysis in stable cirrhotic patients has not been evaluated sufficiently. We report a case with advanced cirrhosis and end-stage kidney disease who was faced with hepatic encephalopathy episodes up on starting renal replacement therapy. The case is also interesting in that it reveals effects of hemodialysis and peritoneal dialysis on hepatic encephalopathy episodes and quality of life of the patient.
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series Case Reports in Medicine
spelling doaj-art-6130068b99e749929a19b02e7d7e47ef2025-02-03T06:01:47ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/375456375456Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and HemodialysisSuleyman Koz0Idris Sahin1Zafer Terzi2Sema Tulay Koz3Nephrology Clinic, Malatya State Hospital, 44100 Malatya, TurkeyNephrology Department, Inonu University Turgut Ozal Medical Centre, 44100 Malatya, TurkeyInternal Medicine Clinic, Adiyaman State Hospital, Adiyaman, TurkeyDialysis Clinic, Malatya State Hospital, 44100 Malatya, TurkeyEnd-stage kidney disease and advanced cirrhosis are sometimes seen concomitantly. There is no consensus on dialysis modality in terms of determining the optimal way of treating these patients. It has been suggested that peritoneal dialysis is a better choice for these patients, but efficacy of hemodialysis in stable cirrhotic patients has not been evaluated sufficiently. We report a case with advanced cirrhosis and end-stage kidney disease who was faced with hepatic encephalopathy episodes up on starting renal replacement therapy. The case is also interesting in that it reveals effects of hemodialysis and peritoneal dialysis on hepatic encephalopathy episodes and quality of life of the patient.http://dx.doi.org/10.1155/2015/375456
spellingShingle Suleyman Koz
Idris Sahin
Zafer Terzi
Sema Tulay Koz
Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis
Case Reports in Medicine
title Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis
title_full Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis
title_fullStr Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis
title_full_unstemmed Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis
title_short Course of Encephalopathy in a Cirrhotic Dialysis Patient Treated Sequentially with Peritoneal and Hemodialysis
title_sort course of encephalopathy in a cirrhotic dialysis patient treated sequentially with peritoneal and hemodialysis
url http://dx.doi.org/10.1155/2015/375456
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AT idrissahin courseofencephalopathyinacirrhoticdialysispatienttreatedsequentiallywithperitonealandhemodialysis
AT zaferterzi courseofencephalopathyinacirrhoticdialysispatienttreatedsequentiallywithperitonealandhemodialysis
AT sematulaykoz courseofencephalopathyinacirrhoticdialysispatienttreatedsequentiallywithperitonealandhemodialysis