Easl has published clinical practice guidelines for the management of ascites, the most common complication of cirrhosis. As infeccoes bacterianas em pacientes com cirrose sao uma complicacao. This causes the spleen to get bigger and destroy more platelets than usual. If you have ascites, its often a sign of liver failure and occurs most often with cirrhosis. If you have a combination of these symptoms, see your doctor.
Management of ascites, spontaneous bacterial peritonitis. Ho wever, the precipitating causes should be look ed. Chinese guidelines on the management of ascites and its. It is a symptom of liver disease, heart failure, and cancer. Guidelines on the management of ascites in cirrhosis. They will also provide recommendations for the management of spontaneous bacterial peritonitis sbp and hepatorenal syndrome, which often affect patients with cirrhosis. Spironolactone is the drug of choice in the initial treatment of ascites due to cirrhosis. Platelets are blood cells that help in blood clotting. Ascites resistentes ao tratamento clinico otimizado. Diagnostico e manejo da ascite secundaria a cirrose em pediatria. With cirrhosis, blood is blocked from entering the liver and. Ascites and renal dysfunction in cirrhosis occur when the liver disease is decompensated and signify the presence of advanced live r failure. A toolkit for patients 5 portal hypertension also causes blood to back up into another organ called the spleen.
O tratamento da ascite visa primariamente ao conforto do paciente. Pdf management of renal failure and ascites in patients. Tratamento da ascite no doente com cirrose hepatica. O tratamento basico da ascite associada a carcinomato. Patients with ascites who are thought to have an alcohol component to their liver injury should abstain from alcohol consumption. Management of adult patients with ascites due to cirrhosis. Its use is not recommended in patients with ascites of any type. Bacteremia espontanea em pacientes com cirrose hepatica. Ascites happens when fluid accumulates in the abdomen, resulting in uncomfortable abdominal swelling. A 8, 15 patients with newonset ascites should receive diagnostic paracentesis consisting of cell count, total protein test, albumin level, and bacterial culture and sensitivity. Management of ascites in patients with liver disease.
Ascites should be treated with salt restriction and diuretics. Manifestacao comum na hipertensao portal da cirrose hepatica. Ascites is defined as an abnormal accumulation of fluid in the abdominal cavity. Ascites is usually accompanied by a feeling of fullness, a ballooning belly, and rapid weight gain. The chinese society of hepatology developed the current guidelines for the management of ascites and its related complications in cirrhosis based on the published evidences and the panelists consensus. Spironolactone is an aldosterone antagonist, acting mainly on the distal tubules to increase natriuresis and conserve potassium. Ascites is the most common complication of cirrhosis, with approximately 50% of patients with compensated cirrhosis developing ascites over the course of 10 years.