EFFECTS OF TOTAL VOLUME PARACENTESIS FOR TENSE ASCITES ON PORTAL AND VARICEAL HEMODYNAMICS IN PATIENTS WITH CIRRHOSIS

Ahmed EL-Sayed Zeid


Abstract


Ascites and bleeding from EV are among the most senous sequelae of portal hypertension. Ascites has been considered a risk factor for bleeding from EV as it may precipitate variceal hemorrhage by increasing portal venous pressure and gastroesophageal collateral blood flow as a consequence of increased intra-abdominal pressure. Total volume paracentesis has regained popularity in the treatment of cirrhotic patients with tense ascites and has been shown to be an effective, safe and widely accepted technique. However, although many studies have examined the effects of TVP on systemic hemodynamics, little information is available regarding its possible consequences on the splanchnic circulation and variceal blood flow. The aim of the present study, therefore, was to assess the effects of TVP on portal and variceal hemodynamics in cirrhotic patients with tense ascites and EV. To achieve this goal, 15 cirrhotic patients with tense ascites and grade 2 or more EV were included in this study.


Other data

Other Titles تأثير الإفراغ الكلي لاستسقاء البطن المشدود علي ديناميكية الدم البابي والدم في دوالي المرئ في مرضي التليف الكبدي
Issue Date 1999
URI http://research.asu.edu.eg/handle/12345678/2581


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