Treatment of refractory ascites with an automated low-flow ascites pump in patients with cirrhosis

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Treatment of refractory ascites with an automated low‐flow ascites pump in patients with cirrhosis

BACKGROUND Refractory ascites (RA) is a frequent complication of cirrhosis, requiring large volume paracentesis or placement of a transjugular intrahepatic portosystemic shunt (TIPSS). The automated low-flow ascites pump (alfapump, Sequana Medical AG, Zurich, Switzerland) is an innovative treatment option for patients with RA. AIM To assess safety and efficacy of this treatment in patients wi...

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Ascites, refractory ascites and hyponatremia in cirrhosis

Ascites is the most common complication related to cirrhosis and is associated with increased morbidity and mortality. Ascites is a consequence of the loss of compensatory mechanisms to maintain the overall effective arterial blood volume due to worsening splanchnic arterial vasodilation as a result of clinically significant portal hypertension. In order to maintain effective arterial blood vol...

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Portopulmonary hypertension in decompensated cirrhosis with refractory ascites.

BACKGROUND The prevalence of portopulmonary hypertension (PPHTN) in patients with cirrhosis and refractory ascites is unknown. Its presence may preclude patients from receiving a transjugular intrahepatic portosystemic shunt or liver transplantation as a definitive treatment for their end stage cirrhosis. PURPOSE To determine the prevalence, possible aetiological factors, and predictive facto...

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Choice of diuretics in cirrhosis with ascites.

Thirty non azotemic cirrhotics with ascites were treated with oral diuretics on outpatient basis. Estimation of 24 hrs urinary sodium levels proved useful in the diagnosis of secondary hyperaldosteronism (63.3% cases) and the determination of type and dose of diuretics required. Prompt and effective clearance of ascites occurred within 4 weeks of the therapy. No adverse effects were noted and n...

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ژورنال

عنوان ژورنال: Alimentary Pharmacology & Therapeutics

سال: 2017

ISSN: 0269-2813

DOI: 10.1111/apt.14331