Management of cirrhotic patients with ascites:
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Bremen ; London ; Boston
UNI-MED Verlag AG
2016
|
| Ausgabe: | 1st edition |
| Schriftenreihe: | UNI-MED Science
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | 80 Seiten Illustrationen, Diagramme |
| ISBN: | 9783837415193 |
Internformat
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| 245 | 1 | 0 | |a Management of cirrhotic patients with ascites |c Andrea De Gottardi in collaboration with Thomas Berg [und 13 weitere] |
| 250 | |a 1st edition | ||
| 264 | 1 | |a Bremen ; London ; Boston |b UNI-MED Verlag AG |c 2016 | |
| 300 | |a 80 Seiten |b Illustrationen, Diagramme | ||
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| 999 | |a oai:aleph.bib-bvb.de:BVB01-029099843 | ||
Datensatz im Suchindex
| _version_ | 1804176458626629632 |
|---|---|
| adam_text | CONTENTS
NATURAL HISTORY OF PATIENTS WITH CIRRHOSIS 14
1.1.
INTRODUCTION.............................................................................................................................................14
1.2. NATURAL HISTORY OF COMPENSATED ADVANCED CHRONIC LIVER
DISEASE/CIRRHOSIS..................................14
1.3. NATURAL HISTORY OF DECOMPENSATED
CIRRHOSIS.......................................................................................16
1.3.1. ASCITES AND ITS
COMPLICATIONS..................................................................................................................
16
1.3.2. SBP AND BACTERIAL
INFECTIONS....................................................................................................................
16
1.3.3. ACUTE KIDNEY INJURY (AKI) AND HEPATORENAL
SYNDROME...........................................................................17
1.3.4. BLEEDING FROM GASTROESOPHAGEAL
VARICES................................................................................................17
1.3.5. HEPATIC ENCEPHALOPATHY AND
JAUNDICE...................................................................................................18
1.3.6. ACUTE-ON-CHRONIC LIVER
FAILURE..................................................................................................................
18
1.4. CIRRHOSIS
STAGES........................................................................................................................................18
1.5.
REFERENCES.................................................................................................................................................
19
PATHOPHYSIOLOGY OF ASCITES FORMATION 22
2.1.
INTRODUCTION............................................................................................................................................
22
2.2. LOCAL PATHOGENETIC
FACTORS...................................................................................................................22
2.3. SYSTEMIC PATHOGENETIC
EVENTS.............................................................................................................
23
2.4. EFFERENT FACTORS PROMOTING SODIUM AND WATER RETENTION
...............................................................
23
2.5. AFFERENT FACTORS PROMOTING RENAL
DYSFUNCTION..................................................................................26
2.6.
REFERENCES................................................................................................................................................28
M NUTRITION IN CIRRHOTIC PATIENTS WITH ASCITES 32
3.1.
INTRODUCTION............................................................................................................................................
32
3.2. NUTRITION RELATED PATHOPHYSIOLOGY OF ADVANCED CHRONIC LIVER
DISEASE........................................32
3.2.1. INADEQUATE
NUTRITION...............................................................................................................................
32
3.2.2.
MALABSORPTION..........................................................................................................................................32
3.2.3. ALTERED
METABOLISM.................................................................................................................................33
3.2.4.
MACRONUTRIENTS..........................................................................................................................................33
3.2.5.
MICRONUTRIENTS.........................................................................................................................................
33
3.3. ASSESSMENT OF NUTRITIONAL
STATUS...........................................................................................................34
3.3.1. BASIC
MEASUREMENTS.................................................................................................................................34
3.3.2. ANALYTICAL
PARAMETERS.............................................................................................................................
34
3.3.3. ASSESSMENT OF BODY COMPOSITION AND PROTEIN ENERGY MALNUTRITION
.................................................
34
3.3.4. NUTRITIONAL
SCORES....................................................................................................................................
35
3.4. THERAPEUTIC
GOALS...................................................................................................................................35
3.4.1. CONTROL OF
ASCITES......................................................................................................................................35
3.4.2.
TIPS............................................................................................................................................................
35
3.4.3. AUTOMATED LOW FLOW ASCITES PUMP
(ALFAPUMP)....................................................................................36
3.4.4. ENTERAL
NUTRITION........................................................................................................................................36
3.4.5. NASOGASTRIC TUBE
FEEDING........................................................................................................................
36
3.4.6. SARCOPENIC OBESE
PATIENTS......................................................................................................................
36
3.4.7. PARENTERAL
NUTRITION.................................................................................................................................36
3.4.8. PHYSICAL
EXERCISE......................................................................................................................................37
3.5.
REFERENCES.................................................................................................................................................
37
4.1.
4.1.1.
4.1.2.
4.1.3.
4.2.
4.3.
4.4.
5.1.
5.2.
5.2.1.
5.2.2.
5.3.
5.4.
5.5.
5.5.1.
5.5.2.
5.5.3.
5.5.4.
5.6.
6
.
1
.
6
.
2
.
6.3.
6.4.
6.5.
6
.
6
.
6.7.
7.1.
7.2.
7.3.
7.4.
7.5.
7.6.
7.7.
7.8.
7.9.
PHARMACOLOGICAL MANAGEMENT OF ASCITES 40
MOBILISATION OF
ASCITES......................................................................................................
40
DIURETICS...................................................................................................................................................
40
VASOPRESSIN RECEPTOR
ANTAGONISTS..........................................................................................................42
AGENTS TO IMPROVE CIRCULATORY
DYSFUNCTION...........................................................................................42
PREVENTION OF DRUG-INDUCED RENAL INJURY - MEDICATIONS TO
DISCONTINUE......................................43
PROPHYLAXIS AGAINST SPONTANEOUS BACTERIAL
PERITONITIS...................................................................44
REFERENCES...............................................................................................................................................
44
PARACENTESIS 48
INTRODUCTION............................................................................................................................................48
INDICATIONS FOR
PARACENTESIS................................................................................................................
48
DIAGNOSTIC
PARACENTESIS.........................................................................................................................
48
LARGE VOLUME
PARACENTESIS....................................................................................................................
48
TECHNICAL
ASPECTS..................................................................................................................................
49
ANALYSIS OF ASCITIC FLU ID
.........................................................................................................................
50
COMPLICATIONS........................................................................................................................................51
PARACENTESIS-INDUCED CIRCULATORY DYSFUNCTION
(PICD)...........................................................................
51
BLEEDING...................................................................................................................................................
51
INFECTIONS.................................................................................................................................................
51
OTHER
COMPLICATIONS................................................................................................................................
51
REFERENCES...............................................................................................................................................
51
TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT 54
INTRODUCTION............................................................................................................................................54
RATIONALE OF TIPS IN PATIENTS WITH REFRACTORY ASCITES
........................................................................
54
CLINICAL
EFFICACY......................................................................................................................................
55
PATIENT
SELECTION....................................................................................................................................
57
TECHNIQUE OF
TIPS-IMPLANTATION.........................................................................................................
58
FOLLOW
-UP...............................................................................................................................................
59
REFERENCES...............................................................................................................................................
59
AUTOMATED LOW FLOW ASCITES PUMP 62
THE NEED FOR FURTHER TREATMENT
OPTIONS............................................................................................
62
THE PRINCIPLE OF AUTOMATED LOW FLOW ASCITES PUMPS
......................................................................
62
OPERATION PRINCIPLE OF LOW FLOW ASCITES
PUMPS................................................................................63
POSSIBLE DEVICE-RELATED TECHNICAL
COMPLICATIONS........................................ 63
EVALUATION OF THE LOW FLOW ASCITES PUMP IN CLINICAL TRIALS AND REAL-LIFE
COHORTS...........................63
NUTRITIONAL
ASPECTS................................................................................................................................
65
THE ROLE OF THE PUMP SYSTEM IN THE MANAGEMENT OF RECURRENT MALIGNANT
ASCITES
...................
65
COMPLICATIONS AND SAFETY OF LOW FLOW ASCITES PUMPS OBSERVED IN CLINICAL
TRIALS AND
REAL-WORLD
SETTINGS......................................................................................................................
65
PREVENTION OF COMPLICATIONS RELATED TO IMPLANTATION OF LOW FLOW ASCITES
PUM PS
.....................
67
7.10. PATIENT SELECTION FOR LOW FLOW ASCITES PUMP
IMPLANTATION..............................................................67
7.11. HOW TO FOLLOW A PATIENT AFTER PUMP
IMPLANTATION...........................................................................
68
7.12. THE ROLE OF LOW FLOW ASCITES PUMPS IN PATIENTS ON THE WAITING LIST
FOR LIVER TRANSPLANTATION .. 69
7.13.
REFERENCES................................................................................................................................................
70
MANAGEMENT OF HEPATIC HYDROTHORAX 74
8.1.
INTRODUCTION............................................................................................................................................
74
8.2.
DIAGNOSIS..................................................................................................................................................74
8.3. MANAGEMENT AND THERAPEUTIC
OPTIONS...............................................................................................74
8.3.1. FIRST STEP: MEDICAL
MANAGEMENT.............................................................................................................
74
8.3.2. MANAGEMENT OF REFRACTORY
HYDROTHORAX................................................................................................
76
8.4.
REFERENCES................................................................................................................................................
77
* INDEX 79
|
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| isbn | 9783837415193 |
| language | English |
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| spelling | De Gottardi, Andrea Verfasser (DE-588)1043619631 aut Management of cirrhotic patients with ascites Andrea De Gottardi in collaboration with Thomas Berg [und 13 weitere] 1st edition Bremen ; London ; Boston UNI-MED Verlag AG 2016 80 Seiten Illustrationen, Diagramme txt rdacontent n rdamedia nc rdacarrier UNI-MED Science Ascites (DE-588)4143203-4 gnd rswk-swf Leberzirrhose (DE-588)4034948-2 gnd rswk-swf Leberzirrhose (DE-588)4034948-2 s Ascites (DE-588)4143203-4 s DE-604 Berg, Thomas 1963- Verfasser (DE-588)13378732X aut DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029099843&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | De Gottardi, Andrea Berg, Thomas 1963- Management of cirrhotic patients with ascites Ascites (DE-588)4143203-4 gnd Leberzirrhose (DE-588)4034948-2 gnd |
| subject_GND | (DE-588)4143203-4 (DE-588)4034948-2 |
| title | Management of cirrhotic patients with ascites |
| title_auth | Management of cirrhotic patients with ascites |
| title_exact_search | Management of cirrhotic patients with ascites |
| title_full | Management of cirrhotic patients with ascites Andrea De Gottardi in collaboration with Thomas Berg [und 13 weitere] |
| title_fullStr | Management of cirrhotic patients with ascites Andrea De Gottardi in collaboration with Thomas Berg [und 13 weitere] |
| title_full_unstemmed | Management of cirrhotic patients with ascites Andrea De Gottardi in collaboration with Thomas Berg [und 13 weitere] |
| title_short | Management of cirrhotic patients with ascites |
| title_sort | management of cirrhotic patients with ascites |
| topic | Ascites (DE-588)4143203-4 gnd Leberzirrhose (DE-588)4034948-2 gnd |
| topic_facet | Ascites Leberzirrhose |
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