Repository logo
 

Guidelines on the management of ascites in cirrhosis.

Published version
Peer-reviewed

Change log

Authors

Aithal, Guruprasad P  ORCID logo  https://orcid.org/0000-0003-3924-4830
Palaniyappan, Naaventhan 
China, Louise 
Härmälä, Suvi 

Abstract

The British Society of Gastroenterology in collaboration with British Association for the Study of the Liver has prepared this document. The aim of this guideline is to review and summarise the evidence that guides clinical diagnosis and management of ascites in patients with cirrhosis. Substantial advances have been made in this area since the publication of the last guideline in 2007. These guidelines are based on a comprehensive literature search and comprise systematic reviews in the key areas, including the diagnostic tests, diuretic use, therapeutic paracentesis, use of albumin, transjugular intrahepatic portosystemic stent shunt, spontaneous bacterial peritonitis and beta-blockers in patients with ascites. Where recent systematic reviews and meta-analysis are available, these have been updated with additional studies. In addition, the results of prospective and retrospective studies, evidence obtained from expert committee reports and, in some instances, reports from case series have been included. Where possible, judgement has been made on the quality of information used to generate the guidelines and the specific recommendations have been made according to the 'Grading of Recommendations Assessment, Development and Evaluation (GRADE)' system. These guidelines are intended to inform practising clinicians, and it is expected that these guidelines will be revised in 3 years' time.

Description

Keywords

ascites, cirrhosis, Ascites, Humans, Liver Cirrhosis

Journal Title

Gut

Conference Name

Journal ISSN

0017-5749
1468-3288

Volume Title

Publisher

BMJ