Article Text

PDF

Concentration-reinfusion (CR) of ascitic fluid in the treatment of decompensated liver cirrhosis with diuretic-resistant ascites
  1. E. Ventura,
  2. M. L. Zeneroli

    Abstract

    The ascites concentration-reinfusion as current therapeutic procedure is probably too expensive (but less expensive than desalinated human albumin) and in our opinion it is not a substitute for the diuretic drugs in diuretic-responsive ascites.

    On the other hand, this method plays an important role in the management of diuretic-resistant ascites. The mechanical extraction of the sequestered fluid and the infusion of a concentrated derivative into the blood stream beyond the portal blockade aim to restore the ‘effective’ blood volume, renal perfusion and GFR. This effect may induce a new responsive state of the kidney to diuretic drugs and may correct the functional renal failure.

    In addition, a well concentrated ascites supplies autologous proteins to those patients with gross abnormalities of serum protein concentrations.

    Statistics from Altmetric.com

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.