Case Report
The Effectiveness of Bilirubin Column on Severe Hyperbilirubinemia in a Patient with Cardiac Cirrhosis
1Department of Internal Diseases, Division of Intensive Care, Erciyes University Faculty of Medicine, Kayseri, Turkey
2Department of Internal Diseases, Erciyes University Faculty of Medicine, Kayseri, Turkey
3Department of Internal Diseases, Division of Hematology, Erciyes University Faculty of Medicine, Kayseri, Turkey
4Department of Internal Diseases, Pamukkale University Faculty of Medicine, Denizli, Turkey
2Department of Internal Diseases, Erciyes University Faculty of Medicine, Kayseri, Turkey
3Department of Internal Diseases, Division of Hematology, Erciyes University Faculty of Medicine, Kayseri, Turkey
4Department of Internal Diseases, Pamukkale University Faculty of Medicine, Denizli, Turkey
J Clin Pract Res 2014; 36(2): 82-84 DOI: 10.5152/etd.2014.7563
Abstract
The aim of extracorporeal detoxification through plasma exchange therapy is to eliminate protein-bound components and to prevent their potential toxic effects. It is thought that hyperbilirubinemia has a direct cytotoxic effect on T lymphocytes and that it thus increases infection and sepsis. The use of bilirubin absorption column reduces bilirubin levels in patients with hepatic insufficiency. For the first time in Turkey, we presented a patient with cardiac cirrhosis and high bilirubin levels who was successfully treated with bilirubin absorption column method.
Keywords: Bilirubin absorption column, hepatic failure, hyperbilirubinemia