Clinical and neurohumoral response to posture, physical exercise, and ascites treatment in Child-Pugh C liver cirrhosis: Randomized prospective trial

Croatian Medical Journal

Volumn 44, Issue 2, 2003, Pages 178-186

  Degoricija, Vesna ^a   Zjačić Rotkvić, Vanja ^a   Marout, Jasminka ^a   Šefer, Siniša ^a   Troskot, Branko ^a  

^a SESTRE MILOSRDNICE UNIVERSITY HOSPITAL   (Croatia)

Author keywords

Ascites; Bed rest; Diuretics; Liver cirrhosis; Paracentesis; Plasma volume

Indexed keywords

ALBUMIN; ALDOSTERONE; ATRIAL NATRIURETIC FACTOR; FRESH FROZEN PLASMA; FUROSEMIDE; GELATIN; PLASMA SUBSTITUTE; POLYGELINE;

ALDOSTERONE BLOOD LEVEL; ARTICLE; ASCITES; BED REST; BLOOD VOLUME; CHILD PUGH CLASSIFICATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CREATININE CLEARANCE; CROATIA; DISEASE CLASSIFICATION; DISEASE SEVERITY; EXERCISE; HEART RATE; HUMAN; HUMAN TISSUE; HYPOTENSION; LIVER CIRRHOSIS; MAJOR CLINICAL STUDY; MEAN ARTERIAL PRESSURE; ONCOTIC PRESSURE; PARACENTESIS; PATIENT CODING; PLASMA RENIN ACTIVITY; PLASMA VOLUME; RANDOMIZED CONTROLLED TRIAL; SAFETY; SODIUM BALANCE; TACHYCARDIA; URINE FLOW RATE; WEIGHT REDUCTION;

ADULT; AGED; ASCITES; BED REST; DIURETICS; EXERCISE; FEMALE; FUROSEMIDE; HUMANS; LIVER CIRRHOSIS; MALE; MIDDLE AGED; PARACENTESIS; POSTURE; PROSPECTIVE STUDIES;

EID: 0038636577     PISSN: 03539504     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (33)

1. Runyon BA. Ascites and spontaneous bacterial peritonitis. In: Feldman M, Scharschmidt BF, Sleisenger MH, editors. Sleisenger&Fordtran's gastrointestinal and liver disease. 6th edition. Philadelphia: W.B. Saunders Company; 1998. p. 1310-3.
2. Sherlock S. Ascites. In: Sherlock S, Dooley J, editors. Diseases of the liver and biliary system. 10th edition. Oxford: Blackwell Science; 1997. p. 119-34.
3. Schrier RW, Arroyo V, Bernardi M, Epstein M, Henriksen JH, Rodes J. Peripheral arterial vasodilatation hypothesis: a proposal for the initiation of renal sodium and water retention in cirrhosis. Hepatology 1988;8: 1151-7.
4. Arroyo V, Gines A, Salo J. A European survey on the treatment of ascites in cirrhosis. J Hepatol 1994;21: 667-72.
5. Arroyo V. Treatment of ascites. Croatian Journal of Gastroenterology and Hepatology 1997;(Suppl 1):43-6.
6. Gentilini P, La Villa G, Romanelli RG, Foschi M, Laffi G. Pathogenesis and treatment of ascites in hepatic cirrhosis. Cardiology 1994;84 Suppl 2:68-79.
7. Gines P, Tito L, Arroyo V, Planas R, Panes J, Viver J, et al. Randomized comparative study of therapeutic paracentesis with and without intravenous albumin in cirrhosis. Gastroenterology 1988;94:1493-502.
8. Panos MZ, Moore K, Vlavianos P, Chambers JB, Anderson JV, Gimson AE, et al. Single, total paracentesis for tense ascites: sequential hemodynamic changes and right atrial size. Hepatology 1990;11:662-7.
9. Pozzi M, Osculati G, Boari G, Serboli P, Colombo P, Lambrughi C, et al. Time course of circulatory and humoral effects of rapid total paracentesis in cirrhotic patients with tense, refractory ascites. Gastroenterology 1994;106:709-19.
10. Luca A, Garcia-Pagan JC, Bosch J, Feu F, Jimenez W, Gines A, et al. Beneficial effects of intravenous albumin infusion on the hemodynamic and humoral changes after total paracentesis. Hepatology 1995;22:753-8.
11. Gerbes AL, Paumgartner G. Treatment of ascites in liver diseases [in German]. Dtsch Med Wschr 1994;119: 1549-54.
12. Gines P, Arroyo V, Rodes J. Pharmacotherapy of ascites associated with cirrhosis. Drugs 1992;43:316-32.
13. Ruiz-del-Arbol L, Monescillo A, Jimenez W, Garzia-Plaza A, Arroyo V, Rodes J. Paracentesis-induced circulatory dysfunction: mechanism and effect on hepatic hemodynamics in cirrhosis. Gastroenterology 1997; 113:579-86.
14. Gines A, Fernandez-Esparrach G, Monescillo A, Vila C, Domenech E, Abecasis R, et al. Randomized trial comparing albumin, dextran-70, and polygeline in cirrhotic patients with ascites treated by paracentesis. Gastroenterology 1996;111:1002-10.
15. Bernardi M, Di Marco C, Trevisani F, Fornale L, Andreone P, Cursaro C, et al. Renal sodium retention during upright posture in preascitic cirrhosis. Gastroenterology 1993;105:188-93.
16. Trevisani F, Bernardi M, Gasbarrini A, Tame MR, Giancane S, Andreone P, et al. Bed-rest-induced hypernatriuresis in cirrhotic patients without ascites: does it contribute to maintain 'compensation'? J Hepatol 1992; 16:190-6.
17. Child CG, editor. The liver and portal hypertension. Philadelphia: W.B. Saunders Company; 1964.
18. Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transesction of the oesophagus for bleeding oesophageal varices. Br J Surg 1973;60:646-9.
19. Salo J, Gines A, Anibarro L, Jimenez W, Bataller R, Claria J, et al. Effect of upright posture and physical exercise on endogenous neurohumoral systems in cirrhotic patients with sodium retention and normal supine plasma renin, aldosterone and norepinephrine levels. Hepatology 1995;22:479-87.
20. Salerno F, Badalamenti S, Lorenzano E, Moser P, Incerti P. Randomized comparative study of hemaccel vs. albumin infusion after total paracentesis in cirrhotic patients with refractory ascites. Hepatology 1991;13: 707-13.
21. World Medical Association, Inc. Declaration of Helsinki. Recommendations guiding physicians in biomedical research involving human subjects. BMJ 1996;313: 1448-9.
22. Conn HO, Lieberthal MM. Assessment of mental status. In: Conn HO, Lieberthal MM, editors. The hepatic coma syndrome and lactulose. Baltimore (ML): Williams&Wilkins; 1979. p. 169-88.
23. Francetić I. Diuretics [in Croatian]. In: Vrhovac B, editor. Clinical trials of drugs [in Croatian]. Zagreb: Školska knjiga; 1984. p. 309-26.
24. Rodriguez A. ICU card. Hemodynamics. Mexico City: Rodram Corporation SA de CV; 1994.
25. Pinto PC, Amerian J, Reynolds TB. Large-volume paracentesis in nonedematous patients with tense ascites: its effect on intravascular volume. Hepatology 1988;8: 207-10.
26. Whelton A, Watson AJ, Rock RC. Nitrogen metabolites and renal function. In: Burtis CA, Ashwood ER, editors. Tietz textbook of clinical chemistry. 2nd ed. Philadelphia: W.B. Saunders Company; 1994. p. 1513-75.
27. Salo J, Guevara M, Fernandez-Esparrach G, Bataller R, Gines A, Jimenez W, et al. Impairment of renal function during moderate physical exercise in cirrhotic patients with ascites: relationship with the activity of neurohormonal systems. Hepatology 1997;25:1338-42.
28. Unikowsky B, Wexler MJ, Levy M. Dogs with experimental cirrhosis of the liver but without intrahepatic hypertension do not retain sodium or form ascites. J Clin Invest 1983;72:1594-604.
29. Christensen G, Leistad E. Atrial systolic pressure, as well as stretch, is a principal stimulus for release of ANF. Am J Physiol 1997;272(2 Pt 2):H820-6.
30. Edwards BS, Zimmerman RS, Schwab TR, Heublein DM, Burnett JC Jr. Atrial stretch, not pressure, is the principal determinant controlling the acute release of atrial natriuretic factor. Circ Res 1988;62:191-5.
31. Anderson JV, Christofides ND, Bloom SR. Plasma release of atrial natriuretic peptide in response to blood volume expansion. J Endocrinol 1986;109:9-13.
32. de Zeeuw D, Janssen WM, de Jong PE. Atrial natriuretic peptide: its (patho)physiological significance in humans. Kidney Int 1992;41:1115-33.
33. Epstein M. Atrial natriuretic factor and liver disease. In: Epstein M, editor. The kidney in liver disease. 4th ed. Philadelphia: Hanley and Belfus Inc. Medical Publishers; 1996. p. 339-58.