TIPS versus paracentesis for the treatment of refractory ascites
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منابع مشابه
Incarcerated umbilical hernia after large volume paracentesis for refractory ascites.
A 42-year-old Caucasian male with cirrhosis due to alcohol abuse and HCV infection was having repeated 4-5 L paracenteses, increasing in frequency to twice monthly, over 31 months. Following the last paracentesis, he developed nausea, umbilical pain and a tender, warm non-reducible umbilical mass. A CT scan confirmed a large umbilical hernia with incarcerated bowel and ascites (Figs. 1 a,b). He...
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Refractory ascites is a frequent complication of advanced cirrhosis and is associated with hepatorenal syndrome and hepatic hydrothorax. Large volume paracentesis and pleurodesis are regarded as first-line treatments in patients who do not respond adequately to diuretics. These treatments, however, do not prevent recurrence and carry the risk of worsening of the circulatory dysfunction leading ...
متن کاملTolvaptan for the Treatment of Refractory Ascites
To the Editor: The findings from a Japanese phase 3 trial revealed that tolvaptan (Otsuka Pharmaceutical, Osaka, Japan), a non-peptide antagonist of the vasopressin type 2 receptor, is effective in the treatment of refractory ascites in cirrhotic patients. Although this agent is now widely used in clinical practice, few reports have so far been published regarding its real-world efficacy. The r...
متن کاملTIPS and refractory ascites. Lessons from the recent history of ascites therapy.
EFRACTORY ascites, a term introduced during the R 1950’s to define the ascites not responding to sodium restriction and diuretics, was an extremely frequent condition prior to the 1960’s, when the medical treatment of ascites consisted of the administration of mercurial or thiazide diuretics. These agents have a poor natriuretic effect in patients with marked hyperaldosteronism, who represent a...
متن کاملTense Ascites in Cirrhosis: Paracentesis With Albumin Infusion Versus Spontaneous Ascites Filtration
Bruno, S., Borzio, M., Romalnoni, M., Battezzati, P. M., Rossi, S., Chiesa, A., Podda, M. (1992) Comparison ofspontaneous ascitesfiltration and reinfusion with total paracentesis with intravenous albumin infusion in cirrhotic patients with tense ascites. BMJ; 304: 1655-1658. HPB INTERNATIONAL 337 Objective--To compare the effectiveness and safety of spontaneous ascites filtration and reinfusion...
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ژورنال
عنوان ژورنال: Hepatology
سال: 2004
ISSN: 0270-9139,1527-3350
DOI: 10.1002/hep.20510