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Portacaval shunt and the reacquisition of γ-glutamyl transpeptidase activity

✍ Scribed by J. P. Colombo

Publisher: John Wiley and Sons
Year: 1987
Tongue: English
Weight: 270 KB
Volume: 7
Category: Article
ISSN: 0270-9139
DOI: 10.1002/hep.1840070240

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✦ Synopsis

Standardization of a therapeutic approach for ascites due to chronic liver diseaee was proepectively tried in 100 patients. The four pragreeoive steps were: I-relative bed rest ascrociated to withdrawal of toxic agents, and restriction of salt (40 mEq) and water (1.OOOmi per day) for 6 to 7 days. In twenty two patients a good diuretic response was observed. Step 11, initiated only for patients who did not -pond to step I, correspopded to the introduction of espironolactone, 150 -/day, for at least 6 days. A good response was defined (u1 an increased diuresis and weight loss between 300

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