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Treat fluid overload (e.g. ascites, hepatic hydrothorax). Promote excretion of sodium and water. Contraindicated: renal failure, severe sodium and fluid depletion. Caution: renal impairment (creatinine clearance <30 mL/min), electrolyte derangement.
- Alcoholic Liver Disease - StatPearls - NCBI Bookshelf
Alcoholic cirrhosis is the stage described by progressive...
- Treatment for ascites in adults with decompensated liver cirrhosis: a ...
To compare the benefits and harms of different treatments...
- Alcoholic Liver Disease - StatPearls - NCBI Bookshelf
13 Ιουλ 2023 · Alcoholic cirrhosis is the stage described by progressive hepatic fibrosis and nodules. Quantity and duration of the patient's alcohol intake are the highest risk factors for the development of liver disease. The beverage type plays a minimal role. Women are more susceptible than men.
24 Νοε 2020 · Ascites is treated by decreasing dietary sodium and taking diuretic medications. In addition, more severe cases may need a paracentesis, placement of a transjugular intrahepatic portosystemic shunt, and ultimately a liver transplant.
15 Μαρ 2024 · Alcohol abstinence is the first line of treatment, with periodic liver enzyme tests to monitor ongoing liver damage. Abstinence is also the key to prevention of ARLD. Complications include oesophageal or gastric variceal bleeding, ascites, coagulopathy, hepatic encephalopathy, and liver cancer.
To compare the benefits and harms of different treatments for ascites in people with decompensated liver cirrhosis through a network meta‐analysis and to generate rankings of the different treatments for ascites according to their safety and efficacy.
28 Μαΐ 2021 · Treatments for ascites can help improve symptoms and reduce complications. In some patients, ascites may resolve with diuretic therapy or with TIPS or liver transplant. In the case of alcohol-associated hepatitis, ascites may resolve with improvements in liver function.
Ascites can be graded as follows: Grade 1 (mild). Ascites is only detectable by ultrasound examination. Grade 2 (moderate). Ascites causing moderate symmetrical distension of the abdomen. Grade 3 (large). Ascites causing marked abdominal distension. Refractory ascites.
