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Ascites, Hepatorenal Syndrome and Spontaneous Bacterial Peritonitis in Patients with Portal Hypertension / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 168-185, 2010.
Artículo en Coreano | WPRIM | ID: wpr-84435
ABSTRACT
Ascites, hepatic encephalopathy and variceal hemorrhage are three major complications of portal hypertension. The diagnostic evaluation of ascites involves an assessment of its etiology by determining the serum-ascites albumin gradient and the exclusion of spontaneous bacterial peritonitis. Ascites is primarily related to an inability to excrete an adequate amount of sodium into urine, leading to a positive sodium balance. Sodium restriction and diuretic therapy are keys of ascites control. But, with the case of refractory ascites, large volume paracentesis and transjugular portosystemic shunts are required. In hepatorenal syndrome, splanchnic vasodilatation with reduction in effective arterial volume causes intense renal vasoconstriction. Splanchnic and/or peripheral vasoconstrictors with albumin infusion, and renal replacement therapy are only bridging therapy. Liver transplantation is the only definitive modality of improving the long term prognosis.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Peritonitis / Ascitis / Infecciones Bacterianas / Síndrome Hepatorrenal / Albúmina Sérica / Encefalopatía Hepática / Trasplante de Hígado / Hipertensión Portal / Antibacterianos Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: The Korean Journal of Gastroenterology Año: 2010 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Peritonitis / Ascitis / Infecciones Bacterianas / Síndrome Hepatorrenal / Albúmina Sérica / Encefalopatía Hepática / Trasplante de Hígado / Hipertensión Portal / Antibacterianos Tipo de estudio: Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: The Korean Journal of Gastroenterology Año: 2010 Tipo del documento: Artículo