Multidisciplinary Management of Hepatic Hydrothorax in 2020: An Evidence‐Based Review and Guidance
| Autor: | Brian J. Strife, Bubu A. Banini, Samira Shojaee, Yahya Alwatari, Madeline Stovall, Nathan Ogden, Richard K. Sterling, Rachit D. Shah, Evgeni Gershman |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Cirrhosis Hepatology business.industry Pleural effusion medicine.medical_treatment medicine.disease 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Hepatic hydrothorax Multidisciplinary approach medicine Portal hypertension 030211 gastroenterology & hepatology business Intensive care medicine Transjugular intrahepatic portosystemic shunt Pleurodesis Pulmonologists |
| Zdroj: | Hepatology. 72:1851-1863 |
| ISSN: | 1527-3350 0270-9139 |
| DOI: | 10.1002/hep.31434 |
| Popis: | Hepatic hydrothorax is the formation of transudative pleural effusion as a consequence of portal hypertension. Only a minority of cases resolve after sodium restriction and diuretics. Despite the relatively low incidence of 5-15% among patients with cirrhotic portal hypertension, the high morbidity and serious clinical implications associated with hepatic hydrothorax necessitate a well-defined treatment strategy to guide patient care. Management is typically multidisciplinary, involving hepatologists, interventional pulmonologists, interventional radiologists, surgeons, and other specialties. In this manuscript, we assemble a multidisciplinary team to critically review the available literature and provide an evidence-based guidance for management of hepatic hydrothorax. |
| Databáze: | OpenAIRE |
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