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Management of Severe and Refractory Ascites
Hélène Larrue1, Jean Pierre Vinel1, Christophe Bureau1
1Service d'Hépatologie Hôpital Rangueil 1, Avenue Jean Poulhès CHU Toulouse France and Université Toulouse III-Paul Sabatier, France 31400.
Abstract:
Considering the poor prognosis, severe and refractory ascites is a milestone in cirrhotic patients. Liver transplantation must be considered first. In the case of contraindication to liver transplantation or when the waiting period is estimated to be more than 6 months, transjugular intrahepatic portosystemic shunt should be discussed in eligible patients. Regardless of the type of treatment, a careful selection of patients is crucial to avoid further decompensation and specific complications of each treatment.
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