Page 8 - 02- Ascites (Cổ chướng)

(1)[B].

REFERENCES

1. Runyon BA. Management of adult patients with ascites due to cirrhosis: update 2012.
https://www.aasld.org/sites/default/files/guideline_documents/141020_Guideline_Ascites_4UFb_2015.pdf
Accessed November 20, 2019.
2. Kockerling D, Nathwani R, Forlano R, et al. Current and future pharmacological therapies for
managing cirrhosis and its complications. World J Gasteroenterol. 2019;25(8):888–908.

SEE ALSO

Cirrhosis of the Liver; Hepatorenal Syndrome
Algorithms: Congestive Heart Failure: Differential Diagnosis; Nephrotic Syndrome

CODES

ICD10
R18.8 Other ascites
R18.0 Malignant ascites
K70.31 Alcoholic cirrhosis of liver with ascites

CLINICAL PEARLS

Cirrhosis is the most common cause of ascites.
Patients with new-onset ascites or hospitalized patients with ascites should undergo diagnostic
paracentesis.
Avoid ACE inhibitors, ARBs, and β-blockers in patients with ascites.
Most common cause of “diuretic-intractable ascites” is nonadherence with dietary sodium
restriction.
Diuretics are first-line agents in the treatment of ascites. Serial paracentesis or TIPS are second
line.