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Management of adult patients with ascites caused by cirrhosis.
Hepatology 1998; 27(1):264-72Hep

Abstract

Ascites is the most common of the major complications of cirrhosis. The development of ascites is an important landmark in the natural history of cirrhosis and has been proposed as an indication for liver transplantation. The initial evaluation of a patient with ascites should include a history, physical evaluation, and abdominal paracentesis with ascitic fluid analysis. Treatment should consist of abstinence from alcohol, sodium restricted diet, and diuretics. This regimen is effective in approximately 90% of patients. The treatment options for the diuretic-resistant patients include serial therapeutic paracenteses, liver transplantation, and peritoneovenous shunting.

Authors+Show Affiliations

Loma Linda Transplantation Institute, CA 92354, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

9425946

Citation

Runyon, B A.. "Management of Adult Patients With Ascites Caused By Cirrhosis." Hepatology (Baltimore, Md.), vol. 27, no. 1, 1998, pp. 264-72.
Runyon BA. Management of adult patients with ascites caused by cirrhosis. Hepatology. 1998;27(1):264-72.
Runyon, B. A. (1998). Management of adult patients with ascites caused by cirrhosis. Hepatology (Baltimore, Md.), 27(1), pp. 264-72.
Runyon BA. Management of Adult Patients With Ascites Caused By Cirrhosis. Hepatology. 1998;27(1):264-72. PubMed PMID: 9425946.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of adult patients with ascites caused by cirrhosis. A1 - Runyon,B A, PY - 1998/1/13/pubmed PY - 1998/1/13/medline PY - 1998/1/13/entrez SP - 264 EP - 72 JF - Hepatology (Baltimore, Md.) JO - Hepatology VL - 27 IS - 1 N2 - Ascites is the most common of the major complications of cirrhosis. The development of ascites is an important landmark in the natural history of cirrhosis and has been proposed as an indication for liver transplantation. The initial evaluation of a patient with ascites should include a history, physical evaluation, and abdominal paracentesis with ascitic fluid analysis. Treatment should consist of abstinence from alcohol, sodium restricted diet, and diuretics. This regimen is effective in approximately 90% of patients. The treatment options for the diuretic-resistant patients include serial therapeutic paracenteses, liver transplantation, and peritoneovenous shunting. SN - 0270-9139 UR - https://www.unboundmedicine.com/medline/citation/9425946/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S027091399800038X DB - PRIME DP - Unbound Medicine ER -