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managment ascitis cirrhosis

Federica Cipriani, Corrado Fantini, Francesca Ratti, Roberto Lauro, Hadrien Tranchart, Mark Halls, Vincenzo Scuderi, Leonid Barkhatov, Bjorn Edwin, Roberto I Troisi, Ibrahim Dagher, Paolo Reggiani, Giulio Belli, Luca Aldrighetti, Mohammad Abu Hilal
BACKGROUND: Evidence on the value of laparoscopic liver resections (LLR) for hepatocellular carcinoma (HCC) and severe cirrhosis is still lacking. The aim of this study is to assess surgical and oncological outcomes of LLR in cirrhotic HCC patients. METHODS: The analysis included 403 LLR for HCC from seven European centres. 333 cirrhotic and 70 non-cirrhotic patients were compared. A matched comparison was performed between 100 Child-Pugh A and 25 Child-Pugh B patients...
February 2018: Surgical Endoscopy
Michele Bartoletti, Maddalena Giannella, Russell Edward Lewis, Pierluigi Viale
Bloodstream infections are a serious complication in patients with liver cirrhosis. Dysregulated intestinal bacterial translocation is the predominant pathophysiological mechanism of infections in this setting. For this reason enteric Gram-negative bacteria are commonly encountered as the first etiological cause of infection. However, through the years, the improvement in the management of cirrhosis, the recourse to invasive procedures and the global spread of multidrug resistant pathogens have importantly changed the current epidemiology...
April 2, 2016: Virulence
Dalenda Arfaoui, Salem Ajmi
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...
February 2007: La Tunisie Médicale
G Decaux
VPA-985 is an orally active, competitive vasopressin V(2) receptor antagonist that in normal human beings increases water excretion without affecting solute excretion. Whether solute excretion is affected in patients with hyponatremia resulting from inappropriate secretion of antidiuretic hormone (SIADH) or from cirrhosis treated with VPA-985 is unknown. Six hyponatremic patients with SIADH and 5 hyponatremic patients with cirrhosis with ascitis (CWAs) were treated with 50 or 100 mg VPA-985 twice daily. Evolution of creatinine, urea, uric acid, sodium, potassium, and osmotic clearance were determined...
July 2001: Journal of Laboratory and Clinical Medicine
J S Khaitiyar, S K Luthra, N Prasad, N Ratnakar, D K Daruwala
BACKGROUND/AIMS: No general consensus exists regarding the proper surgical management of recurrent variceal bleeding due to hepatic cirrhosis. Transjugular intrahepatic portosystemic shunt and distal splenorenal shunt are increasingly being performed in the management of these patients. The present study was undertaken to compare the efficacy, complications and survival rate of these two procedures. METHODOLOGY: Sixty-seven patients with alcoholic liver cirrhosis of Child-Pugh's class A (n = 22) and class B (n = 45) with recurrent variceal bleeding not controlled by conservative means underwent either transjugular intrahepatic portosystemic shunt placement (n = 35) or a distal splenorenal shunt operation (n = 32)...
March 2000: Hepato-gastroenterology
S Nko'o Amvene, P Koki Ndombo, M Biwole Sida, A Afane Ela, E Afane Ze, L Kayembe Tanga, A Nguekam
We reviewed sonographic findings and evaluated the impact of conventional ultrasound (US) in the management of 99 consecutive black africans with liver cirrhosis. Patients were studied in the University teaching Hospital of Yaoundé (Cameroon). There were 73 males and 26 females, with a mean age of 49 years (range 15 to 71 years). 90 p. cent patients presented with symptoms suggestive of liver disease. The commonest sonographic liver abnormalities were: echo coarseness with poor depiction of intrahepatic vessels, irregularity of the liver surface, hypertrophy of caudate lobe, hepatomegaly, and decreased beam penetration through the liver...
March 1992: Annales de Gastroentérologie et D'hépatologie
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