treatment and prognosis
Last reviewed 01/2018
- treat any ascites and any known underlying aetiology
- thrombolytic therapy
- surgical resection of any congenital webs
- side-to-side portacaval or splenorenal anastomosis to decompress the congested liver and improve clinical state of patient
- resistant ascites - provide palliation by a LeVeen or peritoneal-venous shunt; but do not consider this as a substitute for a side-to-side shunt
- liver transplantation - rapidly becoming the treatment of choice
The prognosis is dependent upon the aetiology. It is good in the absence of malignant neoplasms, with patients surviving several years.