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Management of ascites in cirrhosis

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The management of ascites in cirrhosis involves an initial diagnostic paracentesis - 30 to 50 ml of ascitic fluid is withdrawn - which should be performed on hospital admission.

Further management is based on whether presentation is:

  • tense ascites
  • non-tense ascites

Reference

  1. Biggins SW, Angeli P, Garcia-Tsao G, et al. Diagnosis, evaluation, and management of ascites, spontaneous bacterial peritonitis and hepatorenal syndrome: 2021 practice guidance by the American Association for the Study of Liver Diseases. Hepatology. 2021 Aug;74(2):1014-48.
  2. Aithal GP et al. Guidelines on the management of ascites in cirrhosis. Gut. 2021 Jan;70(1):9-29.

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