A European survey on the treatment of ascites in cirrhosis

J Hepatol. 1994 Oct;21(4):667-72. doi: 10.1016/s0168-8278(94)80116-9.

Abstract

A questionnaire to assess the clinical choice of ascites treatment in cirrhosis was distributed to 1473 participants in an EASL meeting. The response rate (295, 20%) was considered satisfactory in view of the heterogeneity of the persons attending this event. Most participants (86.4%) in the survey were hepatologists and gastroenterologists. The following conclusions of the survey are noteworthy: (1) The objective of ascites therapy was to eliminate completely or almost completely the ascitic fluid for 49% of responders and to decrease ascites volume to an acceptable level of patient comfort for 48%; (2) The classical progressive therapeutic schedule of ascites is rarely used; (3) Following mobilisation of ascites, most (82%) maintain patients on diuretic therapy to avoid reaccumulation of ascites; (4) Only 5% of participants did not use paracentesis to manage ascites in cirrhosis. This was the therapeutic procedure most frequently used for patients with refractory ascites; (5) Although the most acceptable definition of refractory ascites was ascites which cannot be mobilized by maximal medical treatment, a significant proportion of participants also considered that intractable ascites due to diuretic-induced complications and recidivant ascites should be included in the definition; (6) The proportions of participants prescribing prophylactic therapy, mainly low sodium diet, to compensated patients with and without a past history of ascites were 68% and 16%, respectively.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ascites / etiology
  • Ascites / prevention & control
  • Ascites / therapy*
  • Data Collection
  • Diet, Sodium-Restricted
  • Diuretics / therapeutic use
  • Europe
  • Gastroenterology
  • Humans
  • Liver Cirrhosis / complications*
  • Punctures
  • Societies, Medical
  • Surveys and Questionnaires

Substances

  • Diuretics