Impact of Regular Hemodialysis on Short- and Long-Term Liver Function Evaluated by the Galactose Single Point Test | ||
International Journal of Medical Arts | ||
Article 14, Volume 6, Issue 10, October 2024, Pages 5028-5032 PDF (1.61 M) | ||
Document Type: Original Article | ||
DOI: 10.21608/ijma.2024.320295.2031 | ||
Authors | ||
Ayaa Mohamed Rashad* 1; Osama Mohamad Ahmad1; Amr Mohamed Abdelhady Alkhrsawy2; El Sayed Abouzid Ibrahim1; Amr Al Mestikawy3 | ||
1Department of Internal Medicine, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt. | ||
2Department of Clinical Pathology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt. | ||
3Department of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
Abstract | ||
Background: Liver illness significantly exacerbates the advancement of end-stage renal disease [ESRD]. Patients on long-term maintenance hemodialysis may experience enhanced liver function. The galactose single point [GSP] test is a novel technique for evaluating residual liver function. Aim of the study: The study aims to assess the influence of regular hemodialysis on liver function, as measured by the galactose single-point test. Patients and Methods: This prospective cohort study involved recruiting 80 patients on regular dialysis from the hemodialysis unit of the Internal Medicine department at Al-Azhar University Hospital, New Damietta, who met our selection criteria for six months. Results: We found a powerful negative correlation between GSP and months of dialysis; significant negative correlations are observed between hemodialysis duration and both post-dialysis GSP and predialysis GSP, indicating that longer hemodialysis duration is associated with lower levels of GSP before and after dialysis. Conclusion: Patients undergoing long-term hemodialysis maintenance observe a positive enhancement in liver functionality. Galactose metabolism relies on both liver blood flow and hepatic functional mass. It is possible that after hemodialysis [HD], there is a modest increase in blood flow to the liver, potentially leading to enhanced liver function, as observed in the GSP test | ||
Keywords | ||
Galactose Single Point test; End-Stage Renal Disease, Hemodialysis; Liver Function | ||
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