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Fluid and Electrolyte Disorders Associated with Orthotopic Liver Transplantation

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International Yearbook of Nephrology 1990

Part of the book series: International Yearbooks of Nephrology ((IYNE,volume 2))

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Abstract

Following the NIH Consensus Development Conference on Liver Transplantation (1) in 1984 there has been a rapid increase in the use of transplantation to treat end stage liver disease (2). As a result it has become apparent that a more aggressive approach has to be taken towards the medical management of patients who would previously have been considered terminally ill (3, 4). In addition the operative and postoperative periods are characterised by unique fluid and electrolyte problems (5–11). A number of studies (12–18) have shown that pre-existing renal dysfunction has a significant impact on the post-operative prognosis, and that the need for hemodialysis following transplantation is associated with increased mortality. The various phases of the operation itself and the massive blood transfusions produce calcium and acid-base disorders which necessitate careful intra- and post-operative monitoring.

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Authors and Affiliations

  1. Department of Medicine, UCLA School of Medicine, Los Angeles, CA, 90024-1689, USA

    Alan H. Wilkinson, Gabriel M. Danovitch & Mathew Mischel

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  1. Alan H. Wilkinson
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  2. Gabriel M. Danovitch
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  3. Mathew Mischel
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Editor information

Editors and Affiliations

  1. University of Naples, Naples, Italy

    Vittorio E. Andreucci

  2. Division of Nephrology, University of California, Los Angeles, California, USA

    Leon G. Fine

  3. Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota, USA

    Carl M. Kjellstrand

  4. Department of Medicine Kidney Center, Tokyo Women’s Medical College, Tokyo, Japan

    Nobuhiro Sugino

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© 1990 Kluwer Academic Publishers

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Wilkinson, A.H., Danovitch, G.M., Mischel, M. (1990). Fluid and Electrolyte Disorders Associated with Orthotopic Liver Transplantation. In: Andreucci, V.E., Fine, L.G., Kjellstrand, C.M., Sugino, N. (eds) International Yearbook of Nephrology 1990. International Yearbooks of Nephrology, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1491-2_1

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  • DOI: https://doi.org/10.1007/978-1-4613-1491-2_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8802-2

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