Ascites orsakas oftast av bakomliggande levercirros. Saltrestriktion och diuretika är grundval för behandling
Engelsk titel: Ascites is usually caused by an underlying liver cirrhosis. Salt restriction and diuretics is the basis for treatment
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Författare:
Schult, Andreas
;
Friis-Liby, Ingalill
Email: andreas.schult@vgregion.se
Språk: Swe
Antal referenser: 19
Dokumenttyp:
Översikt
UI-nummer: 16047253
Sammanfattning
Ascites is a common complication of liver cirrhosis and is associated with a poor prognosis. The main pathophysiology is an
increased portal pressure with compensatory activation of neurohumoral systems. A patient history, proper physical exam and
adequate examination of ascitic fluid will reveal the aetiology in most cases. Complications such as spontaneous bacterial
peritonitis and thrombosis of hepatic vessel should be excluded in cases of first episode of ascites or deterioration of ascites. A
moderate salt restriction and treatment with diuretics is the mainstay of treatment. Potentially nephrotoxic drugs such as NSAID
and ACE inhibitors should be avoided in patients with cirrhosis.