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Rev Med Suisse. 2012 Sep 5;8(352):1665-8.

[Management of ascites due to portal hypertension].

[Article in French]

Author information

  • 1Service de gastroentérologie et d'hépatologie, CHUV et Université de Lausanne 1011 Lausanne. sebastien.godat@chuv.ch

Abstract

Portal hypertension is regularly encountered by the general practitioner. It is defined by an elevation of the porto-systemic pressure gradient, with complications such as ascites, spontaneous bacterial peritonitis, hepatorenal syndrome, variceal bleeding, hypersplenism, hepatopulmonary syndrome or hepatic encephalopathy occuring when a significant elevation of this gradient is reached. Cirrhosis is the primary cause of portal hypertension in industrialized countries. Symptomatic portal hypertension carries a poor prognosis. Management should be initiated rapidly, including the identification and correction of any reversible underlying condition. Liver transplantation should be considered in advanced cases.

PMID:
22988726
[PubMed - indexed for MEDLINE]
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