2017
Chapter 36 Ascites
Garcia-Tsao G. Chapter 36 Ascites. 2017, 475-484. DOI: 10.1016/b978-0-12-804274-8.00036-9.Peer-Reviewed Educational MaterialsRefractory ascitesCommon decompensating eventNew-onset ascitesSodium-retaining systemsFirst-line therapyDevelopment of ascitesCause of deathPortal hypertensionRenal failureSodium retentionPathophysiological mechanismsOvert infectionAscitesPathogenic cascadeHigh mortalityVasodilatationEarly placementPatientsCirrhosisDeathHypertensionTherapyInfectionMortality
2016
Approach to the Patient with Ascites and Its Complications
Garcia‐Tsao G. Approach to the Patient with Ascites and Its Complications. 2016, 447-458. DOI: 10.1002/9781118512104.ch55.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsLarge-volume paracentesisSpontaneous bacterial peritonitisNew-onset ascitesPresence of ascitesAcute renal failureFirst-line therapyMainstay of therapySerial large-volume paracentesisEtiology of ascitesAccumulation of fluidHepatorenal syndromePeritoneal malignancyAbdominal ultrasonographyRefractory ascitesSodium restrictionHepatic hydrothoraxLine therapyRenal failureBacterial peritonitisHeart failureDecompensated stageCirrhotic ascitesCommon causePeritoneal cavityAscites
2014
Serum B‐type natriuretic peptide in the initial workup of patients with new onset ascites: A diagnostic accuracy study
Farias AQ, Silvestre OM, Garcia‐Tsao G, da Costa Seguro L, de Campos Mazo D, Bacal F, Andrade JL, Gonçalves LL, Strunz C, Ramos DS, Polli D, Pugliese V, Rodrigues AC, Furtado MS, Carrilho FJ, D'Albuquerque LA. Serum B‐type natriuretic peptide in the initial workup of patients with new onset ascites: A diagnostic accuracy study. Hepatology 2014, 59: 1043-1051. PMID: 23907731, DOI: 10.1002/hep.26643.Peer-Reviewed Original ResearchConceptsSerum B-type natriuretic peptideB-type natriuretic peptideSerum-ascites albumin gradientNew-onset ascitesDiagnosis of HFHeart failureCause of ascitesConsecutive patientsNatriuretic peptideTotal protein concentrationResult of HFHighest positive likelihood ratioLow negative likelihood ratioWorkup of patientsCross-sectional studyPg/mLPositive likelihood ratioDiagnostic accuracy studiesNegative likelihood ratioDiagnostic paracentesisPeritoneal diseaseInitial workupLikelihood ratioConstrictive pericarditisValidation cohort
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 proceduresAscites
Garcia‐Tsao G. Ascites. 2012, 103-106. DOI: 10.1002/9781118321386.ch17.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsRight heart failurePeritoneal malignancyHeart failureHepatic sinusoidal pressureLow-protein ascitesNew-onset ascitesSpontaneous bacterial peritonitisEtiology of ascitesRoutine laboratory testsRisk of infectionAccumulation of fluidDiagnostic paracentesisBacterial peritonitisCareful historyPhysical examinationCirrhotic ascitesLiver architecturePeritoneal cavityHepatic sinusoidsAscitesPeritoneal lymphaticsCell countCirrhosisProtein levelsSinusoidal pressure
2008
Approach to the Patient with Ascites and Its Complications
Garcia‐Tsao G. Approach to the Patient with Ascites and Its Complications. 2008, 442-466. DOI: 10.1002/9781444300758.ch23.Chapters