Ascites natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: M.Umer Tariq [2]
Overview
Natural History
Ascites exists in three grades:[1]
- Grade 1: mild, only visible on ultrasound
- Grade 2: detectable with flank bulging and shifting dullness
- Grade 3: directly visible, confirmed with fluid thrill
Complications
- Spontaneous bacterial peritonitis (a life-threatening infection of the ascites fluid)
- Hepatorenal syndrome (kidney failure)
- Weight loss and protein malnutrition
- Mental confusion, change in the level of alertness, or coma (hepatic encephalopathy)
- Other complications of liver cirrhosis
Prognosis
References
- ↑ Moore KP, Wong F, Gines P, Bernardi M, Ochs A, Salerno F, Angeli P, Porayko M, Moreau R, Garcia-Tsao G, Jimenez W, Planas R, Arroyo V. The management of ascites in cirrhosis: report on the consensus conference of the International Ascites Club. Hepatology 2003;38:258-66. PMID 12830009.