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Review ArticleCurrent ConceptsFree Preview

Management of Cirrhosis and Ascites

List of authors.
  • Pere Ginès, M.D.,
  • Andrés Cárdenas, M.D.,
  • Vicente Arroyo, M.D.,
  • and Juan Rodés, M.D.

This review summarizes current knowledge about the pathophysiology of ascites and explains the appropriate approach to clinical evaluation. The authors describe measures for the control of ascites as well as strategies for its management and for the prevention of major complications, including gastrointestinal bleeding, spontaneous bacterial peritonitis, and the hepatorenal syndrome.

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Funding and Disclosures

Supported in part by grants from Fondo de Investigaciones Sanitarias (FIS 00/0618 and 02/0701), Dirección General de Investigación Científico y Técnica (SAF 2001/0300), Instituto de Salud Carlos III (C03/2), and Marató Fundació TV3 (U-2000-TV2710).

Author Affiliations

From the Liver Unit, Hospital Clinic and University of Barcelona, Institut d'Investigacions Biomèdiques August Pi-Sunyer, Barcelona, Spain (P.G., A.C., V.A., J.R.); and the Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston (A.C.).

Address reprint requests to Dr. Ginès at the Liver Unit, Hospital Clinic, Villarroel 170, 08036 Barcelona, Spain, or at .

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