Optimal management of ascites - Sorbonne Université
Article Dans Une Revue Liver International Année : 2020

Optimal management of ascites

Résumé

Ascites is the most common complication of cirrhosis, which develops in 5%-10% of patients per year. Its management is based on symptomatic measures including restriction of sodium intake, diuretics and paracentesis. Underlying liver disease must always be treated and may improve ascites. In some patients, ascites is not controlled by medical therapies and has a major impact on quality of life and survival. TIPS placement and liver transplantation must therefore be discussed. More recently, repeated albumin infusions and Alfapump® have emerged as new therapies in ascites. In this review, the current data on these different options are analysed and an algorithm to help the physician make clinical decisions is suggested.
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Dates et versions

hal-03001782 , version 1 (12-11-2020)

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Marika Rudler, Maxime Mallet, Philippe Sultanik, Charlotte Bouzbib, Dominique Thabut. Optimal management of ascites. Liver International, 2020, 40 (S1), pp.128-135. ⟨10.1111/liv.14361⟩. ⟨hal-03001782⟩
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