[Management of ascitis in patients with cirrhosis].
Ascites is the most common complications of patients with cirrhosis. The treatment of ascites has been based on the ascitic volume. MODERATE ASCITIS: an oral diuretic and a low-salt diet are indicated. Efficacy can be assessed from the weight curve but also from tolerance. MAJOR ASCITIS: evacuation via a paracenthesis should be done in a single session associated with vascular filling to prevent hypovolemia. Immediately after drainage, an oral diuretic is given to prevent recurrence. REFRACTORY ASCITIS: different therapeutic options include iterative paracenthesis, peritoneal-jugular-shunt and transjugular intrahepatic portosystemic shunt.
Service d'hépato-gastroentérologie, CHU Sahloul, Sousse.
Dalenda
D
Arfaoui
Salem
S
Ajmi
D001201:Ascites / Q000209:etiology / Q000628:therapy*; D004039:Diet, Sodium-Restricted; D004232:Diuretics / Q000627:therapeutic use; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D019152:Paracentesis
D004232:Diuretics