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POST GRADUATE SEMINAR
Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 55-73

Pediatric Ascites Revisited


Director - Institute of Pediatric Gastroenterology & Hepatology; Director - Institute of Multi Organ Transplant; Chancellor, Nims University - Rajasthan Jaipur - India 303121, India

Correspondence Address:
Balvir S Tomar
Director - Institute of Pediatric Gastroenterology & Hepatology; Director - Institute of Multi Organ Transplant; Chancellor, Nims University - Rajasthan Jaipur
India
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Source of Support: None, Conflict of Interest: None


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Ascites is the pathologic fluid accumulation within the peritoneal cavity. Ascitic fluid represents a state of total-body sodium and water excess. Its Etiology includes-gastrointestinal, genitourinary, cardiac and metabolic disorders, infections, haematologic and chromosomal abnormalities. Causes neonatal ascites are different from infants and children group. Most cases of ascites are due to liver disease or due to some precipitating factors deteriorating liver functions. History of abdominal distension, increasing weight, respiratory embarrassment, and associated pedal edema associated with it. Ascites needs to be differentiated from abdominal distension due to other causes like gross obesity, gaseous distension, bowel obstruction, abdominal cysts or masses. Investigations should be directed to rule out the cause of ascites. Ascitic fluid drainage is a useful procedure to made a diagnosis and decide the line of treatment accordingly. Umbilical Hernia, Hydrothorax, Spontaneous Bacterial Peritonitis are some dreadful complications of Ascites and its underlying etiology. Its management includes non pharmacological and medical treatment. Various advanced medication and surgeries like TIPSS, Peritoneovenous Shunt, Portosystemic Shunting and Liver Transplantation will promise a better outcome.


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