THE EFFECTIVENESS OF BILIRUBIN COLUMN ON SEVERE HYPERBILIRUBINEMIA IN A PATIENT WITH CARDIAC CIRRHOSIS

RAMAZAN COŞKUN, SAMİME USLUP, KÜRŞAT GÜNDOĞAAN, ÇİĞDEM PALA, İSMAİL HAKKI AKBUDAK, MURAT SUNGUR, MUHAMMET GÜVEN

Journal of Clinical Practice and Research - 2014;36(2):82-84

Department of Internal Diseases, Division of Intensive Care, Erciyes University Faculty of Medicine, Kayseri, Turkey

 

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.