Narongrit KhunpakdeeKullapong JayanamaPiyaporn KaewdoungKwannapa PromsonSasivimol RattanasiriDaruneewan WarodomwichitSurasak KantachuvesiriAbhasnee SobhonslidsukMahidol University2018-11-232018-11-232015-01-01Blood Purification. Vol.40, No.3 (2015), 256-25914219735025350682-s2.0-84943339271https://repository.li.mahidol.ac.th/handle/20.500.14594/36668© 2015 S. Karger AG, Basel. Background/Aims: The impact of volume status on liver stiffness measurement (LSM) as measured by transient elastography (TE) as in end-stage renal disease (ESRD) was unclear. We evaluated LSM before and after hemodialysis (HD) and identified the associated factors if the difference of LSM existed. Methods: A cross-sectional study was conducted in ESRD patients on regular HD. Subjects underwent TE and bioelectrical impedance before and after HD. Results: Thirty-six patients were enrolled. Mean (SD) net fluid withdrawal volume (NFWV) per session was 2.55 (0.9) l. Median (range) pre- and post-HD LSMs were 5.38 (2.8-25.7) and 5.4 (2.8-26) kPa, respectively (p = 0.712). Mean differences of pre- and post-HD LSMs correlated with NFWV (r = 0.49, 95% CI 0.19-0.71, p = 0.002). Conclusion: In ESRD on regular HD, LSM is not affected by HD. TE can be done before or after HD with similar results. However, fluid excess at pre-HD can cause inaccurately high LSM.Mahidol UniversityMedicineArticleSCOPUS10.1159/000439582