Spontaneous bacterial peritonitis natural history: Difference between revisions
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===Prognosis=== | ===Prognosis=== | ||
Patients surviving an episode of SBP should be considered for liver transplantation if acceptable. | |||
[[Renal dysfunction]] is an important prognostic indicator followed by the [[Model for End-Stage Liver Disease]] (MELD) score. With an increase of [[MELD score]] prognosis becomes worse. <ref name="pmid21145427">{{cite journal |author=Tandon P, Garcia-Tsao G |title=Renal dysfunction is the most important independent predictor of mortality in cirrhotic patients with spontaneous bacterial peritonitis |journal=Clin. Gastroenterol. Hepatol. |volume=9 |issue=3 |pages=260–5 |year=2011 |month=March |pmid=21145427 |doi=10.1016/j.cgh.2010.11.038 |url=}}</ref> | [[Renal dysfunction]] is an important prognostic indicator followed by the [[Model for End-Stage Liver Disease]] (MELD) score. With an increase of [[MELD score]] prognosis becomes worse. <ref name="pmid21145427">{{cite journal |author=Tandon P, Garcia-Tsao G |title=Renal dysfunction is the most important independent predictor of mortality in cirrhotic patients with spontaneous bacterial peritonitis |journal=Clin. Gastroenterol. Hepatol. |volume=9 |issue=3 |pages=260–5 |year=2011 |month=March |pmid=21145427 |doi=10.1016/j.cgh.2010.11.038 |url=}}</ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Natural History , Complications and Prognosis
Spontaneous bacterial peritonitis (SBP) is a potentially fatal yet reversible cause of deterioration in patients with decompensated cirrhosis. SBP developing in the setting of ascites from causes other than cirrhosis is rare, but can occur in: Cardiac ascites, nephrogenic ascites, ascites associated with fulminant hepatic failure, malignant ascites, and alcoholic and viral hepatitis. Spontaneous bacterial peritonitis presents as a complication of ascites which can be due to cirrhosis , heart failure or renal failure. Untreated disease leads to complications and has a poor prognosis.
Natural History
Complications
Prognosis
Patients surviving an episode of SBP should be considered for liver transplantation if acceptable. Renal dysfunction is an important prognostic indicator followed by the Model for End-Stage Liver Disease (MELD) score. With an increase of MELD score prognosis becomes worse. [1]
References
- ↑ Tandon P, Garcia-Tsao G (2011). "Renal dysfunction is the most important independent predictor of mortality in cirrhotic patients with spontaneous bacterial peritonitis". Clin. Gastroenterol. Hepatol. 9 (3): 260–5. doi:10.1016/j.cgh.2010.11.038. PMID 21145427. Unknown parameter
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