Management of cirrhotic ascites

Physiological basis of diuretic action

Mitchell H. Rosner, Rohit Gupta, David Ellison, Mark D. Okusa

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Ascites is a significant complication of cirrhosis that occurs in approximately 50% of patients. The mortality rate is high in patients with cirrhosis and ascites. Conventional interventions rest with dietary sodium restriction, diuretic use, large-volume paracentesis, peritoneovenous shunts and transjugular intrahepatic portosystemic shunts. The mainstay of therapy, however, is the judicious use of diuretics. This article reviews the physiological basis of diuretic use in patients with cirrhosis and ascites, as well as recent concepts on the pathogenesis of ascites formation. Through a better understanding of the pathophysiology of ascites formation and the mechanism of action of diuretics, improved extracellular fluid balance can be achieved in these patients.

Original languageEnglish (US)
Pages (from-to)8-19
Number of pages12
JournalEuropean Journal of Internal Medicine
Volume17
Issue number1
DOIs
StatePublished - Jan 2006

Fingerprint

Diuretics
Ascites
Fibrosis
Peritoneovenous Shunt
Transjugular Intrahepatic Portasystemic Shunt
Dietary Sodium
Paracentesis
Water-Electrolyte Balance
Extracellular Fluid
Mortality
Therapeutics

Keywords

  • Ascites
  • Cirrhosis
  • Diuretic resistance
  • Diuretics

ASJC Scopus subject areas

  • Medicine(all)
  • Internal Medicine

Cite this

Management of cirrhotic ascites : Physiological basis of diuretic action. / Rosner, Mitchell H.; Gupta, Rohit; Ellison, David; Okusa, Mark D.

In: European Journal of Internal Medicine, Vol. 17, No. 1, 01.2006, p. 8-19.

Research output: Contribution to journalArticle

Rosner, Mitchell H. ; Gupta, Rohit ; Ellison, David ; Okusa, Mark D. / Management of cirrhotic ascites : Physiological basis of diuretic action. In: European Journal of Internal Medicine. 2006 ; Vol. 17, No. 1. pp. 8-19.
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