Author/Authors :
Coşkun, Ramazan Erciyes University - Faculty of Medicine - Department of Internal Diseases, Division of Intensive Care, Turkey , Uslup, Samime Erciyes University - Faculty of Medicine - Department of Internal Diseases, Turkey , Gündoğan, Kürşat Erciyes University - Faculty of Medicine - Department of Internal Diseases, Division of Intensive Care, Turkey , Pala, Çiğdem Erciyes University - Faculty of Medicine - Department of Internal Diseases, Division of Hematology, Turkey , Akbudak, İsmail Hakkı Pamukkale University - Faculty of Medicine - Department of Internal Medicine, Turkey , Sungur, Murat Erciyes University - Faculty of Medicine - Department of Internal Diseases, Division of Intensive Care, Turkey , Güven, Muhammet Erciyes University - Faculty of Medicine - Department of Internal Diseases, Division of Intensive Care, Turkey
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.