A case with portal hypertension and Cirrhosis since 4 years having Ascitis since 1 month. What will be the prognosis specific to this case and in general as well?
I wish that link is helpfull
https://www.youtube.com/watch?v=RKxoYs3mDew
Prognosis worsens in ascending order as follows:
Only portal hypertension (with/without GI bleed) in chronic liver disease
Compensated cirrhosis.
Cirrhosis with ascites (decompensated)
Cirrhosis with ascites with GI bleed.
However prognosis varies according to etiology being treatable (e.g. hepatitis virus, autoimmune hepatitis, Wilson's disease) or continuous injury (e.g. alcohol)
Plz provide link to published case reports or scholarly articles
As the liver disease progress the complications increase and the prognosis worsens. For these reasons is necessary to detect early all of them , to treat well and to include in liver transplantaron program if possible
Child-Turcotte-Pugh Classification for Severity of Cirrhosis calculator to estimate the cirrhosis severity
The presence of ascitis sorteen the expectantes of living between 30-50% at 3 years time
Cirrhosis complications, to ultimately HCC, in loco cirrhotica, are power signs for severity of this condition. Moreover, and cirrhosis itself show terminal and ireversibile stad of more chronic liver disease.
It depende of several factors índex, but an early diagnosis and appropriate treatment are very useful tole
Thank you for your question. Assessing the severity of the disease and the patient survival is based on several classification methods. This paper may give you an example to one method.
Dis Markers. 2011;31(3):121-8. doi: 10.3233/DMA-2011-0834.
Classification of cirrhosis: the clinical use of HVPG measurements.
Albilllos A1, Garcia-Tsao G.
Author information
Abstract
The modern paradigm considers cirrhosis as a dynamic and potentially reversible disease. It consists of two different entities, compensated and decompensated cirrhosis, each with a distinct prognosis and different predictors of survival. The development of portal hypertension is a hallmark in the history of cirrhosis, and its progression parallels that of the disease. In consequence, portal pressure measurement by means of HVPG allows stratifying cirrhosis in stages with defined outcomes, prognosis, and management strategies.
Have been treating such cases from 2 decades.Ayurveda management is very promising in most cases to reverse cirrhosis and prevent and manage Ascitis secondary to liver diseases. Hypertension when not managed leads to complications and leads to cirrhosis,ascitis etc. If patient follows all restrictions in diet and lifestyle ...prognosis is really promising.
The prognosis of liver cirrhosis is determined by presence of portal hypertension.
As cirrhosis progressed from compensated to decompensated cirrhosis, portal hypertension worsen and prognosis worsen.
In cirrhosis without varices and ascites, the annual risk of death is 1%
In cirrhosis with varices alone without other complications, the annual risk of death is 3.4%
In cirrhosis with ascites, with or without varices, the annual risk of death is 20%
In cirrhosis with variceal bleeding, the annual risk of death is 57%
(D'Amico , J Hepatol 2006)
There is a direct correlación between the degree of portal hipertensión and the worsening of prognosis in Oliver cirrosis
Definitive prognosis can to improve with Ortotopic Liver Transplantation.
Before transplantation, in cases with portal hypertension and hemorrhage is prefered to be done TIPS, but and for refractory ascites.