Surgery: Surgical placement of a shunt (tube) between the main vein (portal vein) and smaller veins is sometimes used as a treatment. A radiologist can place a shunt directly through the liver, thereby relieving portal hypertension and diminishing ascites. By increasing blood flow, all organs of the body are better able to perform their function. May 06, · First-line treatment of patients with cirrhosis and ascites consists of sodium restriction (88 mmol per day [ mg per day], diet education,) and diuretics (oral spironolactone with or without oral furosemide). (Class IIa, Level A) Fluid restriction is not necessary unless serum sodium is less than mmol/L. (Class III, Level C)File Size: 1MB.
In the United States, ascites is most often due to portal hypertension resulting from cirrhosis. Other common causes include malignancy and heart failure. Successful treatment of ascites depends upon an accurate diagnosis of its cause (table 1 and table 2 and table 3 and algorithm 1). This topic will review the evaluation of adults with ascites. The initial evaluation of a patient with ascites should include a history, physical evaluation, and abdominal paracentesis with ascitic fluid analysis. Treatment should consist of abstinence from alcohol, sodium restricted diet, and diuretics. This regimen is effective in Cited by:
adequate diagnosis is necessary for successful treatment. Ascites can be classified as: mild ascites only detectable by ultrasound (grade 1), moderate ascites evident by moderate symmetrical distension of the abdomen (grade 2), and. Apr 09, · This topic will review the evaluation of adults with ascites. Performance of paracentesis, specific causes of ascites, the initial therapy of ascites in patients with cirrhosis, and the treatment of refractory ascites are discussed in detail separately.