Quick Tips: Ascites

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

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