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Guidelines on the management of ascites in cirrhosis

Aithal, Guruprasad P; Palaniyappan, Naaventhan; China, Louise; H�rm�l�, Suvi; Macken, Lucia; Ryan, Jennifer M; Wilkes, Emilie A; Moore, Kevin; Leithead, Joanna A; Hayes, Peter C; O'Brien, Alastair J; Verma, Sumita

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Authors

Louise China

Suvi H�rm�l�

Lucia Macken

Jennifer M Ryan

Emilie A Wilkes

Kevin Moore

Joanna A Leithead

Peter C Hayes

Alastair J O'Brien

Sumita Verma



Abstract

The British Society of Gastroenterology in collaboration with British Association for the Study of the Liver has prepared this document. The aim of this guideline is to review and summarise the evidence that guides clinical diagnosis and management of ascites in patients with cirrhosis. Substantial advances have been made in this area since the publication of the last guideline in 2007. These guidelines are based on a comprehensive literature search and comprise systematic reviews in the key areas, including the diagnostic tests, diuretic use, therapeutic paracentesis, use of albumin, transjugular intrahepatic portosystemic stent shunt, spontaneous bacterial peritonitis and beta-blockers in patients with ascites. Where recent systematic reviews and meta-analysis are available, these have been updated with additional studies. In addition, the results of prospective and retrospective studies, evidence obtained from expert committee reports and, in some instances, reports from case series have been included. Where possible, judgement has been made on the quality of information used to generate the guidelines and the specific recommendations have been made according to the ‘Grading of Recommendations Assessment, Development and Evaluation (GRADE)’ system. These guidelines are intended to inform practising clinicians, and it is expected that these guidelines will be revised in 3 years’ time.

Citation

Aithal, G. P., Palaniyappan, N., China, L., Härmälä, S., Macken, L., Ryan, J. M., …Verma, S. (2020). Guidelines on the management of ascites in cirrhosis. Gut, 70(1), https://doi.org/10.1136/gutjnl-2020-321790

Journal Article Type Article
Acceptance Date Sep 4, 2020
Online Publication Date Oct 16, 2020
Publication Date Dec 9, 2020
Deposit Date Oct 22, 2020
Publicly Available Date Mar 28, 2024
Journal Gut
Print ISSN 0017-5749
Electronic ISSN 1468-3288
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 70
Issue 1
DOI https://doi.org/10.1136/gutjnl-2020-321790
Keywords Gastroenterology
Public URL https://nottingham-repository.worktribe.com/output/4983196
Publisher URL https://gut.bmj.com/content/70/1/9

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