By A.L. Gerbes, C. Sakamoto
Ascites is the main common and hepatorenal syndrome the main deadly problem in liver cirrhosis. in recent times, significant growth has been made relating to powerful therapy of those issues, hence lowering mortality in sufferers. This book highlights and severely appraises contemporary achievements and novel advances, and while offers the heritage had to seize novel recommendations. issues taken care of contain problems of paracentesis, the appropriate number of plasma expanders, and choice of sufferers who will adventure survival make the most of transjugular intrahepatic portosystemic shunt. Hepatorenal syndrome, however, is chargeable for a huge spectrum of manifestations because of acute kidney damage, which until eventually lately was once thought of a deadly . drugs to enhance renal functionality and extend survival are hence additionally mentioned, together with vital concerns for scientific end result that are nonetheless below debate. furthermore, the function of mixed kidney-liver transplantation as opposed to traditional liver-only transplantation is addressed, in addition to using vaptans in hyponatremia and their debatable function within the therapy of ascites. well known specialists percentage their wisdom and services and supply a global point of view. Their contributions comprise updated references and a bullet-point precis, making this book most dear for practitioners, clinicians and scientists within the box.
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Additional resources for Ascites, Hyponatremia, and Hepatorenal Syndrome: Progress in Treatment (Frontiers of Gastrointestinal Research)
29 Santos J, Planas R, Pardo A, Durández R, Cabré E, Morillas RM, Granada ML, Jiménez JA, Quintero E, Gassull MA: Spironolactone alone or in combination with furosemide in the treatment of moderate ascites in nonazotemic cirrhosis: a randomized comparative study of efficacy and safety. J Hepatol 2003;39:187–192. 30 Angeli P, Fasolato S, Mazza E, Okolicsanyi L, Maresio G, Velo E, Galioto A, Salinas F, D’Aquino M, Sticca A, Gatta A: Combined versus sequential diuretic treatment of ascites in non-azotaemic patients with cirrhosis: results of an open randomised clinical trial.
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Gastroenterology 1987;93:234–241. v. albumin infusion to treat ‘tense’ ascites in cirrhotic patients: a safe alternative therapy. J Hepatol 1987;5:102–108. 3 Acharya S, Balwinder S, Padee A, et al: Large volume paracentesis and intravenous dextran to treat tense ascites. J Clin Gastroenterol 1992;14:31–35. 4 Hagege H, Ink O, Ducreaux M, et al: Traitment de l´ascite chez les maladie atteints de cirrhose sans hyponatremie ni insuffisance rénale: résultats d’une étude randomisée comparant les diurétiques et les ponctions compensées par l’albumine.