ISSN: Descargar PDF. Cabrera b , M. Guevara a , R. Morillas c , L. Soriano f.

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ISSN: Descargar PDF. Cabrera b , M. Guevara a , R. Morillas c , L. Soriano f. Hospital Universitario de Gran Canaria. Las Palmas de Gran Canaria. Hospital Universitari Germans Trias i Pujol. Hospital del Mar. Hospital de la Santa Creu i Sant Pau. Clin Liver Dis, 4 , pp. Gines, E. Quintero, V. Arroyo, J. Teres, M. Bruguera, A. Rimola, et al. Compensated cirrhosis: natural history and prognostic factors. Hepatology, 7 , pp. D'Amico, A. Morabito, L. Pagliaro, E. Survival and prognostic indicators in compensated and decompensated cirrhosis.

Dig Dis Sci, 31 , pp. Management of adult patients with ascites caused by cirrhosis. Hepatology, 27 , pp. Goldberg, G. Goodman, H. Radiology, 96 , pp. Alexandrakis, J. Moschandrea, S. Koulocheri, E. Kouroumalis, G. Discrimination between malignant and nonmalignant ascites using serum and ascitic fluid proteins in a multivariate analysis model. Dig Dis Sci, 45 , pp. Arroyo, P. Gines, A. Gerbes, F.

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Kosberg, et al. A model to predict survival in patients with end-stage liver disease. Hepatology, 33 , pp. Malinchoc, P. Kamath, F. Gordon, C. Peine, J. Rank, P. Ter Borg. A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. Hepatology, 31 , pp. Bosch, J. Gaya-Beltran, D. Kravetz, L. Estrada, F. Rivera, et al. Plasma renin activity and urinary sodium excretion as prognostic indicators in nonazotemic cirrhosis with ascites. Ann Intern Med, 94 , pp.

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Hiponatremia dilucional y trasplante hepático. Revisión

The serum-ascites albumin gradient is superior to the exudates-transudate concept in the differential diagnosis of ascites. Ann Intern Med ; Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. Hepatology ; Survival and prognostic factors of cirrhotic patients with ascites: a study of outpatients. Am J Gastroenterol ; Diuretic treatment in decompensated cirrhosis and congestive heart failure: effect of posture.


2005, Número 3

Rev Col Gastroenterol [online]. ISSN Patients with advanced liver disease may present volume overloads that can lead to the development of dilutional hyponatremia primarily as the result of persistently high levels of antidiuretic hormone. Liver transplantation is the therapy of choice for patients with terminal liver disease.


Hyponatremia is the most common electrolyte disorder in patients with cirrhosis. In dilutional or hypervolemic hyponatremia, serum sodium concentration is reduced, plasma volume is increased although the effective plasma volume is decreased due to marked arterial vasodilation in the splanchnic circulation and extracellular fluid volume is increased, with ascites and edema in the absence of signs of dehydration. This is a result of the marked deterioration in renal excretion of solute-free water, leading to disproportionate water retention in relation to sodium retention. Since hypervolemic hyponatremia is by far the most frequent form of this disorder, the present chapter will concentrate specifically on hypervolemic hyponatremia in cirrhosis.. ISSN: Hyponatremia in liver cirrhosis: pathogenesis and treatment.



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