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[Management of ascitis in patients with cirrhosis].

Authors
Type
Published Article
Journal
La Tunisie médicale
Publication Date
Volume
85
Issue
2
Pages
91–95
Identifiers
PMID: 17665651
Source
Medline
License
Unknown

Abstract

Ascites is the most common complications of patients with cirrhosis. The treatment of ascites has been based on the ascitic volume. MODERATE ASCITIS: an oral diuretic and a low-salt diet are indicated. Efficacy can be assessed from the weight curve but also from tolerance. MAJOR ASCITIS: evacuation via a paracenthesis should be done in a single session associated with vascular filling to prevent hypovolemia. Immediately after drainage, an oral diuretic is given to prevent recurrence. REFRACTORY ASCITIS: different therapeutic options include iterative paracenthesis, peritoneal-jugular-shunt and transjugular intrahepatic portosystemic shunt.

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