Three years after renal transplantation, liver cirrhosis with ascites

Description disease (onset time, major symptoms, visiting hospitals, etc.):

Kidney transplant in January 2007
March 2009 diagnosis of ascites, portal hypertension, splenomegaly treatment of ascites Yuhuangding Hospital in Yantai
April 2010 in Shandong Qilu Hospital no effect, alanine aminotransferase and aspartate aminotransferase normal, R-GGT 300, ALP 400, poor renal function, serum creatinine 170

And effectiveness of treatment was:

March 2009 diagnosis of ascites, portal hypertension, splenomegaly treatment of ascites Yuhuangding Hospital in Yantai
April 2010 Qilu Hospital of Shandong no effect, poor renal function, serum creatinine 170
Feel no treatment

How do want to help:

Would like to ask a specific treatment, and liver transplantation can it? There is a stem cell transplant treatment for it?

Best answer

Appropriate concentration, liver and kidney syndrome can not be called (especially in patients with cirrhosis of the liver stage, because the poor liver function affect kidney function, resulting in oliguria or anuria)

Liver transplantation is currently no strong indications, current treatment recommendations: identify the cause of cirrhosis of the liver, such as hepatitis B caused by, adhere to lamivudine or adefovir, entecavir and other antiviral drugs to control viral replication; back Yellow Liver treatment; on a regular basis liver function, AFP, liver b ultra, hepatitis B DNA. Department of Gastroenterology recommendations to be endoscopy, esophageal and gastric look at the extent varicose veins.
Aspects of diet and daily life pay attention to rest, avoid alcohol, avoid oily, avoid rough foods (bamboo shoots, shrimp, etc.) about the situation if there is: If is difficult to eliminate the ascites, bilirubin continued to rise beyond the control of> 500, hepatic encephalopathy , hepatorenal syndrome (decreased urine output, or no urine), esophageal and gastric venous blood (expressed as vomiting blood or black tarry), or cause other serious complications affect your quality of life, liver transplantation may be considered stem cells Transplantation, currently only a few military hospitals in clinical trials, not yet approved by the Ministry of Health to carry out.