Chinese guidelines on the management of ascites and its related complications in cirrhosis

The Chinese Society of Hepatology developed the current guidelines for the Management of Ascites and Its Related Complications in Cirrhosis based on the published evidences and the panelists’ consensus. The guidelines provided recommendations for the diagnosis and management of cirrhotic ascites emp...

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Bibliographic Details
Published in:Hepatology international 2019-01, Vol.13 (1), p.1-21
Main Authors: Xu, Xiaoyuan, Duan, Zhongping, Ding, Huiguo, Li, Wengang, Jia, Jidong, Wei, Lai, Linghu, Enqiang, Zhuang, Hui
Format: Article
Language:English
Subjects:
Albumin
Anti-Infective Agents - therapeutic use
Ascites
Ascites - complications
Ascites - diagnosis
Ascites - therapy
Bacterial Infections - etiology
Cirrhosis
Colorectal Surgery
Complications
Diagnosis, Differential
Diet, Sodium-Restricted
Forecasting
Guidelines
Hepatology
Hepatorenal Syndrome - diagnosis
Hepatorenal Syndrome - etiology
Hepatorenal Syndrome - therapy
Humans
Hyponatremia
Infections
Liver cirrhosis
Liver Cirrhosis - complications
Liver Cirrhosis - therapy
Management
Medical diagnosis
Medicine
Medicine & Public Health
Nutritional Support
Paracentesis - methods
Peritonitis
Peritonitis - etiology
Sodium Potassium Chloride Symporter Inhibitors - therapeutic use
Surgery
Vasoconstrictor Agents - therapeutic use
Vasoconstrictors
Vasodilation
Vasopressin
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Summary:The Chinese Society of Hepatology developed the current guidelines for the Management of Ascites and Its Related Complications in Cirrhosis based on the published evidences and the panelists’ consensus. The guidelines provided recommendations for the diagnosis and management of cirrhotic ascites emphasizing a step-wise approach with the first-, second-, and third-line therapy. For refractory ascites, vasoconstrictors and albumin are recommended for splanchnic vasodilation and selective vasopressin (V2) receptor antagonists for moderate-to-severe hyponatremia. For spontaneous bacterial peritonitis, empirical anti-infection treatment was recommended based on the local microbiological examination of community- or hospital-acquired infections. For hepatorenal syndrome, the administration of vasopressor terlipressin and albumin is recommended.
ISSN:1936-0533
1936-0541
DOI:10.1007/s12072-018-09923-2