Chapter 19. Paracentesis for Cirrhotic Ascites

  1. Pere Ginès1,
  2. Vicente Arroyo2,
  3. Juan Rodés3 and
  4. Robert Schrier4
  1. Rosa María Morillas,
  2. Justiniano Santos,
  3. Silvia Montoliu and
  4. Ramon Planas

Published Online: 25 OCT 2007

DOI: 10.1002/9780470987476.ch19

Ascites and Renal Dysfunction in Liver Disease: Pathogenesis, Diagnosis, and Treatment, Second Edition

Ascites and Renal Dysfunction in Liver Disease: Pathogenesis, Diagnosis, and Treatment, Second Edition

How to Cite

Morillas, R. M., Santos, J., Montoliu, S. and Planas, R. (2005) Paracentesis for Cirrhotic Ascites, in Ascites and Renal Dysfunction in Liver Disease: Pathogenesis, Diagnosis, and Treatment, Second Edition (eds P. Ginès, V. Arroyo, J. Rodés and R. Schrier), Blackwell Publishing Ltd, Oxford, UK. doi: 10.1002/9780470987476.ch19

Editor Information

  1. 1

    Consultant in Hepatology, Associate Professor of Medicine, Liver Unit, University of Barcelona School of Medicine, Hospital Cliníc Villarroel, 1708036 Barcelona, Spain

  2. 2

    Professor of Medicine, Liver Unit, University of Barcelona School of Medicine, Hospital Cliníc Villarroel, 1708036 Barcelona, Spain

  3. 3

    Professor of Medicine, Liver Unit, University of Barcelona School of Medicine, Hospital Cliníc Villarroel, 1708036 Barcelona, Spain

  4. 4

    Professor of Medicine, Division of Renal Diseases and Hypertension, University of Colorado School of Medicine, 4200 East 9th Avenue, Denver, CO 80262, USA

Publication History

  1. Published Online: 25 OCT 2007
  2. Published Print: 12 JUL 2005

ISBN Information

Print ISBN: 9781405118040

Online ISBN: 9780470987476

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Keywords:

  • paracentesis;
  • ascites;
  • cirrhosis;
  • portosystemic shunt;
  • hyponatremia

Summary

This chapter contains sections titled:

  • Introduction

  • Comparison of paracentesis plus intravenous albumin vs. diuretics in the treatment of tense ascites

  • Therapeutic paracentesis without volume expansion

  • Use of other types of plasma expanders in cirrhotic patients treated with paracentesis

  • Changes in circulatory function following therapeutic paracentesis

  • Mechanism of paracentesis-induced circulatory dysfunction

  • Paracentesis as a treatment for refractory ascites

  • Liver transplantation

  • Technique of paracentesis

  • Contraindications and complications of paracentesis

  • Addendum