Title | Chinese guidelines on the management of ascites and its related complications in cirrhosis |
Authors | Xu, Xiaoyuan Duan, Zhongping Ding, Huiguo Li, Wengang Jia, Jidong Wei, Lai Linghu, Enqiang Zhuang, Hui |
Affiliation | Peking Univ, Dept Infect Dis, Hosp 1, Beijing 100034, Peoples R China Capital Med Univ, Beijing You An Hosp, Artificial Liver Ctr, Beijing 100069, Peoples R China Capital Med Univ, Beijing You An Hosp, Ctr Hepatol & Gastroenterol, Beijing, Peoples R China 302 Mil Hosp China, Liver Tumor Diag Treatment & Res Ctr, Beijing, Peoples R China Capital Med Univ, Beijing Friendship Hosp, Liver Res Ctr, Beijing, Peoples R China Peking Univ, Peoples Hosp, Inst Hepatol, Beijing, Peoples R China Chinese Peoples Liberat Army Gen Hosp, Dept Gastroenterol, Beijing, Peoples R China Peking Univ, Dept Pathogen Biol, Hlth Sci Ctr, Beijing, Peoples R China |
Keywords | Liver cirrhosis Ascites SBP Hepatorenal syndrome Diagnosis Therapy Guidelines |
Issue Date | 2019 |
Publisher | HEPATOLOGY INTERNATIONAL |
Abstract | 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. |
URI | http://hdl.handle.net/20.500.11897/552152 |
ISSN | 1936-0533 |
DOI | 10.1007/s12072-018-09923-2 |
Indexed | SCI(E) |
Appears in Collections: | 第一医院 人民医院 |