The first of LFN’s Quick Tips series on decompensated cirrhosis. We created an infographic to help you understand ascites — what does it mean for your patients with cirrhosis, how do you diagnose it, and how is it managed?
Please disseminate to all of your co-fellows, residents, and medical students!
Links to the referenced articles
Santos J, et al. J Hepatology 2003 – important RCT comparing diuretic regimens in ascites
Angeli P, et al. Gut 2010 – second important RCT comparing diuretic regimens in ascites
Gines P, et al. Gastroenterol 1988 – benefits of administration of albumin after therapeutic paracentesis
Bernardi M, et al. Hepatol 2012 – meta-analysis of trials studying albumin after LVP
Saab S, et al. Cochrane Database 2006 – systematic review comparing TIPS to paracentesis in the management of refractory ascites
Salerno F, et al. Gastroenterol 2007 – meta-analysis of data studying TIPS in refractory ascites
Serste T, et al. Hepatol 2010 – observational study of the harm of beta-blockers in refractory ascites
Tapias E, et al. J Hepatol 2020 – assessing hemodynamic effects and survival effect of beta-blockers in decompensated cirrhotics