For patients with liver cirrhosis awaiting transplantation who suffer from refractory ascites (RA), standard treatment consists of repeated large volume paracentesis. The automated low-flow ascites-pump (alfapump) offers an innovative alternative for RA, if TIPSS is contraindicated or ineffective. This study addresses the feasibility alfapump in transplantation. Between 2012 and 2018, listed we...

Accumulation of fluid as ascites is the most common complication of cirrhosis. This is occurring in about 50% of patients within 10 years of the diagnosis of cirrhosis. It is a prognostic signwith 1-year and 5-year survival of 85% and 56%, respectively. The most acceptable theory for ascites formation is peripheral arterial vasodilation leading to underfilling of circulatory volume. This trigge...

Portal vein thrombosis is common in cirrhotic patients and results in increased morbidity and mortality. Transjugular intrahepatic portosystemic shunt (TIPS) creation is a well-established therapy for refractory variceal bleeding and refractory ascites in patients who do not tolerate repeated large volume paracentesis. Experience and technical improvements have led to improved TIPS outcomes tha...

Chylous ascites (CA) is the extravasation of lipid-rich lymphatic fluid into the peritoneal space following trauma or obstruction of the lymphatic system. Refractory cases of cirrhosis-related CA may be amendable to transjugular intrahepatic portosystemic shunting (TIPS). We present a case of TIPS in the setting of refractory CA secondary to cirrhosis of a transplanted liver graft. Following TI...

Background: Hepatorenal syndrome is a part of the prerenal acute kidney injury (AKI) characterized by dysfunction which secondary to decreased renal blood flow that occurs in liver cirrhosis with portal hypertension and fatal complication. (HRS) about 20% patients refractory ascites.Method: This study was conducted on 24 ascites who visited Gastroenterohepatology Outpatient Ward Internal Medici...