Management of Renal Failure and Ascites in Patients with Cirrhosis
2011

Managing Kidney Failure and Fluid Build-Up in Liver Disease

publication Evidence: moderate

Author Information

Author(s): Madan Kaushal, Ashish Mehta

Primary Institution: Medanta Institute of Digestive and Hepatobiliary Sciences, Medanta-The Medicity Hospital

Hypothesis

Can effective management of renal failure and ascites improve outcomes in patients with cirrhosis?

Conclusion

Effective management of ascites and renal failure in cirrhosis can improve patient outcomes and may serve as a bridge to liver transplantation.

Supporting Evidence

  • Ascites is a common complication in cirrhosis and indicates poor prognosis.
  • Management options for ascites include dietary salt restriction and diuretics.
  • Large volume paracentesis is effective for tense ascites.
  • Transjugular intrahepatic portosystemic shunts can help manage refractory ascites.
  • Hepatorenal syndrome is a severe complication of liver disease that requires careful management.

Takeaway

When people with liver disease have fluid build-up or kidney problems, doctors can help them feel better and live longer by using different treatments.

Methodology

The article reviews various treatment options for managing ascites and renal failure in cirrhosis, including diuretics, large volume paracentesis, and transjugular intrahepatic portosystemic shunts.

Limitations

The article does not provide specific data on the effectiveness of treatments or long-term outcomes.

Digital Object Identifier (DOI)

10.4061/2011/790232

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