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Hepatic Hydrothorax: A Narrative Review.
Pippard, Benjamin; Bhatnagar, Malvika; McNeill, Lisa; Donnelly, Mhairi; Frew, Katie; Aujayeb, Avinash.
Afiliación
  • Pippard B; Department of Respiratory Medicine, South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
  • Bhatnagar M; Department of Respiratory Medicine, South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
  • McNeill L; Department of Hepatology, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
  • Donnelly M; Department of Hepatology, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
  • Frew K; Department of Palliative Medicine, Northumbria Healthcare NHS Foundation Trust, North Shields, UK.
  • Aujayeb A; Department of Respiratory Medicine, Northumbria Healthcare NHS Foundation Trust, North Shields, Northumbria Way, Northumberland, Cramlington, NE23 6NZ, UK. avinash.aujayeb@nhct.nhs.uk.
Pulm Ther ; 8(3): 241-254, 2022 Sep.
Article en En | MEDLINE | ID: mdl-35751800
Hepatic hydrothorax (HH) represents a distinct clinical entity within the broader classification of pleural effusion that is associated with significant morbidity and mortality. The median survival of patients with cirrhosis who develop HH is 8-12 months. The diagnosis is typically made in the context of advanced liver disease and ascites, in the absence of underlying cardio-pulmonary pathology. A multi-disciplinary approach to management, involving respiratory physicians, hepatologists, and palliative care specialists is crucial to ensuring optimal patient-centered care. However, the majority of accepted therapeutic options are based on expert opinion rather than large, adequately powered randomized controlled trials. In this narrative review, we discuss the epidemiology, pathophysiology, clinical characteristics, and management of HH, highlighting the use of salt restriction and diuretic therapy, porto-systemic shunts, and liver transplantation. We include specific sections focusing on the role of pleural interventions and palliative care, respectively.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Pulm Ther Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Pulm Ther Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos