Skip Navigation LinksHome > May 2011 - Volume 52 - Issue 5 > Pathophysiology, Diagnosis, and Management of Pediatric Asci...
Journal of Pediatric Gastroenterology & Nutrition:
doi: 10.1097/MPG.0b013e318213f9f6
Invited Review

Pathophysiology, Diagnosis, and Management of Pediatric Ascites

Giefer, Matthew J*; Murray, Karen F*; Colletti, Richard B

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Abstract

The pediatric population has a number of unique considerations related to the diagnosis and treatment of ascites. This review summarizes the physiologic mechanisms for cirrhotic and noncirrhotic ascites and provides a comprehensive list of reported etiologies stratified by the patient's age. Characteristic findings on physical examination, diagnostic imaging, and abdominal paracentesis are also reviewed, with particular attention to those aspects that are unique to children. Medical and surgical treatments of ascites are discussed. Both prompt diagnosis and appropriate management of ascites are required to avoid associated morbidity and mortality.

Copyright 2011 by ESPGHAN and NASPGHAN

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