Management of ascites in children

Expert Review of Gastroenterology & Hepatology
Erin R LaneKaren F Murray

Abstract

Ascites is the pathologic accumulation of fluid within the peritoneal cavity. There are many causes of fetal, neonatal and pediatric ascites; however, chronic liver disease and subsequent cirrhosis remain the most common. The medical and surgical management of ascites in children is dependent on targeting the underlying etiology. Broad categories of management strategies include: sodium restriction, diuresis, paracentesis, intravenous albumin, prevention and treatment of infection, surgical and endovascular shunts and liver transplantation. This review updates and expands the discussion of the unique considerations regarding the management of cirrhotic and non-cirrhotic ascites in the pediatric patient.

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Citations

Dec 4, 2019·Pediatrics in Review·Diana Haddad, Sandeep Gangadharan
Jun 8, 2017·AJR. American Journal of Roentgenology·Sarah J MenasheA Luana Stanescu
Apr 21, 2020·Italian Journal of Pediatrics·Alessandro RossiAndrea Lo Vecchio
Apr 29, 2021·Journal of Pediatric Gastroenterology and Nutrition·Coralie DefertChristophe Chardot
Jul 4, 2021·Emergency Medicine Clinics of North America·Ashkon Shaahinfar, Zahra M Ghazi-Askar

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