Management of ascites in patients with cirrhosis. What to do when diuretics fail.
Postgrad Med
; 92(8): 155-8, 161-6, 1992 Dec.
Article
in En
| MEDLINE
| ID: mdl-1454665
ABSTRACT
Resistant or refractory ascites is unusual in cirrhotic patients who comply with dietary sodium restriction and optimal diuretic therapy. Patients unresponsive to medical therapy often have end-stage liver disease and renal insufficiency, although reversible complicating factors must be excluded. For patients with truly refractory ascites, liver transplantation is the only option that improves chances of survival. When this is not feasible, therapeutic paracentesis is the procedure of choice for intractable ascites. Several surgical shunts have been used, but none have been found to be safer and more effective than large-volume paracentesis.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ascites
/
Liver Cirrhosis
Type of study:
Etiology_studies
/
Guideline
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Postgrad Med
Year:
1992
Document type:
Article
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM