Abstract
The assumption of an upright posture by patients with cirrhosis and ascites is associated with a striking activation of the renin-angiotensin system and the sympathetic nervous system, a reduction of GFR, and an enhancement of tubular sodium reabsorption [1]. Therefore, from a theoretical point of view, bed rest could be useful for the treatment of ascites, particularly in patients who do not respond satisfactorily to diuretics.
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Bernardi M, Santini C, Trevisani F, Baraldini M, Ligabue A, Gasbarrini G (1985) Renal function impairment induced by change in posture in patients with cirrhosis and ascites. Gut 26: 629–635
Olsen UB (1983) Diuretics and kidney prostaglandins. In: Dunn M J, Patrono G, Cinotti G A (eds) Prostaglandins and the kidney. Plenum, New York, pp 205–212
Pérez-Ayuso RM, Arroyo V, Planas R, Gaya J, Bory F, Rimola A, Rivera F, Rodés J (1984) Randomized comparative study of efficacy of furosemide versus spironolactone in nonazo-temic cirrhosis with ascites. Gastroenterology 84: 961–968
Campra JL, Reynolds TB (1978) Effectiveness of high-dose spironolactone therapy in patients with chronic liver disease and relatively refractory ascites. Dig Dis Sci 23:1025–1030
Berkowitz DH, Mullen JL, Miller LD, Rosato EF (1978) Improved renal function and inhibition of renin aldosterone secretion following peritoneovenous (LeVeen) shunt. Surgery 84: 120–126
Blendis LM, Greig PD, Langer B, Baigrie RS, Ruse J, Taylor BR (1979) The renal and hemodynamic effects of the peritoneovenous shunt for intractable ascites. Gastroenterology 77: 250–257
Schoeder ET, Anderson GH, Smulyan H (1979) Effects of portacaval or peritoneo-venous shunt on renin in the hepatorenal syndrome. Kidney Int 15: 54–61
Henriksen JH, Malchom-Moller A, Ring-Larsen H, Lejerstofte Jensen J, Dietrichson O, Staehr-Johansen T, Juhl E (1983) Peritoneovenous shunt in treatment of ascites in patients with cirrhosis. A preliminary report with special reference to pathophysiology. Scand J Gastroenterol 18: 529–535
Smajda C, Franco D (1985) The Le Veen shunt in the elective treatment of intractable ascites in cirrhosis. A prospective study on 140 patients. Ann Surg 201: 488–493
Greig PD, Langer B, Blendis LM, Taylor BR, Clynn M FX (1980) Complications after peri-toneovenous shunting for ascites. Am J Surg 139: 125–131
Epstein M (1982) Peritoneovenous shunt in the management of ascites and the hepatorenal syndrome. Gastroenterology 82: 790–799
Turner WW, Pate RM (1982) The Denver peritoneo-venous shunt: relationship between hepatic reserve and successful treatment od ascites. Am J Surg 144: 619–623
Gleysteen J J, Klamer TW (1984) Peritoneovenous shunt: predictive factors of early treatment failure. Am J Gastroenterol 79: 654–658
Quintero E, Ginés P, Arroyo V, Rimola A, Bory F, Planas R, Viver J, Cabrera J, Rodés J (1985) Paracentesis versus diuretics in the treatment of cirrhotics with tense ascites. Lancet 1: 611–612
Kao HW, Rakow NE, Savage E, Reynolds TB (1985) The effect of large volume paracentesis on plasma volume: a cause of hypovolemia? Hepatology 5: 403–407
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© 1987 Springer-Verlag Heidelberg
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Rodés, J., Arroyo, V. (1987). Treatment of Ascites. In: Okolicsányi, L., Csomós, G., Crepaldi, G. (eds) Assessment and Management of Hepatobiliary Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72631-6_37
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DOI: https://doi.org/10.1007/978-3-642-72631-6_37
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