2022
Ascites and its complications
García‐Tsao G. Ascites and its complications. 2022, 2024-2043. DOI: 10.1002/9781119600206.ch98.Peer-Reviewed Original ResearchHepatic sinusoidal pressureHepatic venous pressure gradientSerum-ascites albumin gradientAcute kidney injuryPresence of ascitesVenous pressure gradientMain pathogenic mechanismPredominance of neutrophilsSinusoidal pressureAccumulation of fluidAbdominal ultrasonographyKidney injurySodium restrictionCirrhotic patientsPortal pressureSodium retentionDecompensated stageInflammatory processPolymorphonuclear cellsPeritoneal cavityAscites albuminAscitic fluidAscitesCirrhosisPathogenic mechanisms
2013
Serum B-type natriuretic peptide is more accurate than ascites analyses in the diagnosis of ascites related to heart failure
Farias A, Silvestre O, Bacal F, Garcia-Tsao G, Seguro L, Mazo D, Andrade J, Furtado M, Carrilho F, D'Albuquerque L. Serum B-type natriuretic peptide is more accurate than ascites analyses in the diagnosis of ascites related to heart failure. European Heart Journal 2013, 34: p4241. DOI: 10.1093/eurheartj/eht309.p4241.Peer-Reviewed Original ResearchSerum B-type natriuretic peptideB-type natriuretic peptideSerum-ascites albumin gradientDiagnosis of HFNew-onset ascitesHeart failureConsecutive patientsNatriuretic peptideAscites analysisAscitic fluidTotal protein concentrationHighest positive likelihood ratioCause of ascitesLow negative likelihood ratioWorkup of patientsCross-sectional studyDiagnosis of ascitesPg/mLPositive likelihood ratioNegative likelihood ratioDiagnostic paracentesisLikelihood ratioPeritoneal diseaseConstrictive pericarditisValidation cohort
2012
Paracentesis
De Gottardi A, Yeo C, Garcia‐Tsao G. Paracentesis. 2012, 1158-1162. DOI: 10.1002/9781118321386.ch154.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsDiagnostic paracentesisTherapeutic paracentesisAscitic fluidNew-onset ascitesAdministration of albuminSpontaneous bacterial peritonitisSite of paracentesisFormal contraindicationBowel perforationAbdominal ultrasoundBacterial peritonitisMajor complicationsSpecific etiologyAbdominal cavityParacentesisAscitesCell countBlood culture bottlesPatient consentSingle procedureFrequent technical problemsLeakage of fluidTherapeutic purposesPatientsMedical procedures
2004
Spontaneous bacterial peritonitis: a historical perspectiveKerr DNS, Pearson DT, Read AE. Infection of ascitic fluid in patients with hepatic cirrhosis [Gut 1963; 4: 394–398]; Conn HO. Spontaneous peritonitis and bacteremia in Laennec's cirrhosis caused by enteric organisms. A relatively common but rarely recognized syndrome [Ann Intern Med 1964; 60: 568–580]
GARCIATSAO G. Spontaneous bacterial peritonitis: a historical perspectiveKerr DNS, Pearson DT, Read AE. Infection of ascitic fluid in patients with hepatic cirrhosis [Gut 1963; 4: 394–398]; Conn HO. Spontaneous peritonitis and bacteremia in Laennec's cirrhosis caused by enteric organisms. A relatively common but rarely recognized syndrome [Ann Intern Med 1964; 60: 568–580]. Journal Of Hepatology 2004, 41: 522-527. DOI: 10.1016/s0168-8278(04)00392-7.Commentaries, Editorials and Letters
1991
Treatment of ascites with A single total paracentesis
Garcia-Tsao G. Treatment of ascites with A single total paracentesis. Hepatology 1991, 13: 1005-1007. PMID: 2029984, DOI: 10.1002/hep.1840130534.Peer-Reviewed Original ResearchConceptsPlasma renin activityEffective intravascular volumeTotal paracentesisCauses of readmissionLarge-volume paracentesisTense ascitesCirrhotic patientsProbability of readmissionRenin activityDextran 70Intravenous albuminRenal impairmentAldosterone concentrationClinical courseIntravascular volumeAscitic fluidTherapeutic proceduresEffects of paracentesisFirst hospital stayStandard liver testsRenal function testsGroup of patientsTreatment of ascitesFree water clearanceCause of death
1989
Improved method for bacteriological diagnosis of spontaneous bacterial peritonitis
Bobadilla M, Sifuentes J, Garcia-Tsao G. Improved method for bacteriological diagnosis of spontaneous bacterial peritonitis. Journal Of Clinical Microbiology 1989, 27: 2145-2147. PMID: 2685014, PMCID: PMC266981, DOI: 10.1128/jcm.27.10.2145-2147.1989.Peer-Reviewed Original ResearchConceptsSpontaneous bacterial peritonitisBacterial peritonitisPositive ascitic fluid cultureAscitic fluid cultureCirrhotic patientsAscites cultureDefinitive diagnosisFluid cultureCausative organismAscitic fluidBacteriological diagnosisDiagnostic criteriaPeritonitisBlood culture bottlesPatient's bedsideCulture methodPatientsDiagnosisBedside
1985
The diagnosis of bacterial peritonitis: Comparison of pH, lactate concentration and leukocyte count
Garcia‐Tsao G, Conn H, Lerner E. The diagnosis of bacterial peritonitis: Comparison of pH, lactate concentration and leukocyte count. Hepatology 1985, 5: 91-96. PMID: 3967868, DOI: 10.1002/hep.1840050119.Peer-Reviewed Original ResearchConceptsPolymorphonuclear cell countAscitic fluid lactateBacterial peritonitisAscitic fluidPeritoneal metastasisAscitic fluid polymorphonuclear cell countLactate gradientLactate concentrationAscitic fluid glucoseDiagnostic cutoff levelUninfected ascitesCirrhotic patientsLiver involvementTuberculous peritonitisConsecutive patientsPMN countArterial lactateLeukocyte countArterial bloodCutoff levelCell countFluid glucosePeritonitisPatientsDiagnostic accuracy