Serum - Ascites Albumin and Cholesterol Gradients in Differential Diagnosis of Ascites
نویسندگان
چکیده
s: Background: Differential diagnosis of ascites is a common clinical problem. Less expensive biochemical techniques are required to differentiate ascites with unknown etiology. Aim: To evaluate the diagnostic efficiency of ascitic fluid cholesterol, serum ascites albumin gradient (SAAG) and serum ascites cholesterol gradients (SACG) in differentiating cirrhotic, tuberculous and malignant ascites. Methods: 50 patients (25 with hepatic cirrhosis, 15 with tuberculosis and10 with malignancy) were evaluated for ascitic fluid total protein, albumin, cholesterol, SAAG and SACG. Results: The mean ascitic fluid cholesterol was significantly higher in malignant ascites when compared with cirrhosis and tuberculous ascites (p= 0.0001 each). The difference between tuberculous and cirrhotic ascites was also significant (p= 0.001). The mean value of SAAG was significantly higher in cirrhosis when compared with tuberculous and malignant ascites (p= 0.0001; p= 0.001 respectively) but the difference between tuberculous and malignant ascites was not significant The mean SACG was significantly lower in malignant compared to tuberculous and cirrhotic ascites (p= 0.0001; p= 0.001 respectively). The difference between tuberculous and cirrhotic ascites was not significant. Conclusion: SAAG is a better marker to differentiate cirrhotic ascites from tuberculous and malignant ascites. Ascitic fluid cholesterol and SACG are better markers to differentiate malignant ascites from cirrhotic and tuberculous ascites. [Vyakaranam S et al. NJIRM 2011; 2(3) : 22-28]
منابع مشابه
Study Of Diagnostic Significance Of Serum Lipid Gradients (SALG) In Differentiation Of Ascites From Liver
Aims: To study the significance of serum ascites lipid gradient (SALG) for total cholesterol, triglyceride, HDL cholesterol, LDL cholesterol and VLDL cholesterol in differentiation of ascites due to cirrhosis of liver and ascites due to malignancy and tuberculosis. Material and methods: A study on 50 patients admitted at R.N.T. Medical college and MBG Hospital Udaipur admitted with ascites was ...
متن کاملUsefulness of Serum Ascites Cholesterol Gradient (sacg), Total Protein (tp) Ratio and Serum Ascites Albumin Gradient (saag) in Differentiating Tuberculous Ascites and Cirrhotic Ascites
Background: Differential diagnosis of ascites is a common clinical problem and is usually done by Serum Ascites Albumin Gradient (SAAG).However many other markers can also be utilized for the same. Aims & Objective: This study was carried out to evaluate the diagnostic efficiency of ascitic fluid cholesterol, serum ascites albumin gradient (SAAG) , Total protein Ratio and serum ascites choleste...
متن کاملبررسی مقایسه ای پاراسنتز آسیت شدید در افراد سیروتیک با و بدون استفاده از آلبومین وریدی
Introduction: It has been shown that repeated large volume paracenthesis associated with intravenous albumin infusion is a rapid, effective and safe therapy of massive ascites in cirrhosis. Our aim was to investigate wether IV infusion of albumin is necessary in large volume paeacenthesis therapy of cirrhotic ascites. Methods: 37 patients with tense cirrhotic ascites who were intractable to diu...
متن کاملRole of serum-ascites albumin gradient in differential diagnosis of ascites.
BACKGROUND The classification of ascites as 'exudative' and 'transudative' based on ascitic fluid total protein (AFTP) has been challenged in many clinical conditions like cardiac ascites, patients on prolonged diuretic therapy and malignant ascites because it had poor diagnostic efficacy. These drawbacks have led to the development of another approach to classify ascites, which is based on Ser...
متن کاملمقایسه ضابطه پروتئین توتال و اختلاف آلبومین سرم از آلبومین مایع آسیت( گرادیان آلبومین سرم ـ آسیت ) بعنوان تشخیص افتراقی مایع آسیت
A total 97 paired serum & ascites fluid samples from ascitic patients were collected and analyzed. The utility of the serum - ascites albumin gradient & the e...
متن کامل