asites
DESCRIPTION
ASITESTRANSCRIPT
ASITESREFERAT
ASITES•ASITES adalah penimbunan cairan
abnormal dirongga peritoneum.•ASITES berasal dari bahasa latin askos
yang berarti kantong.
ASITES
SIROSIS HEPATIS75%
KEGANASAN10%
GAGAL JANTUNG3% TBC 2%
PENYEBAB LANGKA LAINYA
KLASIFIKASI ASITES•ASITES TANPA KOMPLIKASI
▫GRADE 1 : asites hanya dapat terdeteksi lewat USG.
▫GRADE 2 : asites yang menyebabkan distensi perut moderat.
▫GRADE 3 : asites ditandai denga distensi abdomen.
PATOFISIOLOGI•HIPERTENSI PORTAL.•HIPOALBUMINEMIA.•PENINGKATAN PEMBENTUKAN ALIRAN
DARAH LIMFE.•RETENSI NATRIUM DAN GANGGUAN
EKSRESI AIR.
DIAGNOSIS ASITES•ANAMNESIS•PF : Spider navy, palmar eritema, shifting
dullnes (+), undulasi (+).•PP : Tes fungsi hati, USG, CT-Scan
abdomen▫Pungsi asites▫Pemeriksaan cairan asites
TATALAKSANA ASITES•Retriksi garam dan air•Diuretik•Paracintesis•Transjugular intrahepatic portosystemic
shunt (TIPS)
DAFTAR PUSTAKA
1. Cheney CP, Goldberg EM and Chopra S. Cirrhosis and portal hypertension: an overview. In: Friedman LS and Keeffe EB, eds. Handbook of Liver Disease. 2nd ed. China, Pa: Churchill Livingstone; 2004:125-138
2. Friedman SL: Hepatic Fibrosis, In: Schiff ER, Sorrell MF, Maddrey WC, eds. Schiff’s Diseases of the Liver. 9th ed. Philadelphia, Pa: Lippincott-Raven; 2003:409-28
3. Garcia-Tsao D and . Wongcharatrawee S. (VA Hepatitis C resource center Program). Treatment of patients With Cirrhosis and Portal Hypertension Literature Review and Summary of Recommended Interventions. Version 1 (October 2003). Available from URL: www.va.gov/hepatitisc
4. Wolf DC. Cirrhosis.eMedicine Specialities. 1 Juli 2013. Available from URL: http://www.emedicine.com/med/topic3183.htm
5. Lee D. Cirrhosis of the Live. MedicineNet.com, 1 Juli 2013. Available from URL: http://www.medicinenet.com/cirrhosis/article.htm
6. Hernomo K. Pengelolaan perdarahan massif varises esophagus pada sirosis hati. Thesis. Airlangga University Press, Surabaya,1983.
7. Nurdjanah K. Sirosis Hepatis. Dalam: Sudoyo S dkk, eds. Buku Ajar Ilmu Penyakit Dalam, Jilid I, edisi 4, Jakarta, Pa: Balai Penerbit FKUI, 2007: 443-46.
8. Lorraine MW. Sirosis Hati. Dalam: Sylvia AP, Lorraine MW. Sirosis. Edisi keenam, Volume I. EGC, Jakarta: 2005;1:493-501.
9. Akil HAM. Asites. Dalam : Rasyad SB. Kumpulan Kuliah Hepatologi, Palembang. 2008. 365-70.
10. Guadalupe Garsia-Tsao et al. Prevention and Management of Gastroesophagal Varices and Variceal Hemorrhage in Cirrhosis. American Journal of Gastroenterology. United States of America. 2007.
11. Pere Gines et al. Management of Cirrhosis and Ascites. The New England Journal of Medicine. Massachusetts Medical Society. 2004;350:1646-54.
12. Silbernagl S, Lang F. Color Atlas of Pathophysiology. 1st ed. Stuttgart. New York: Thieme; 2000. 170-5.
13. Mcphee SJ, Papadakis MA. Hepatology. In Thierney LM, editor. Current Medical Diagnosis & Treatment. San Francisco, California: McGraw – Hill ; 2008.
14. Chung RT, Podolsky DK. Cirrhosis and its complications. In Harrison’s Principles of Internal Medicine, ed by Fauci AS, Braunwald E et al., 17th edition, McGraw – Hill Inc, New York, 2008: 1858-67.
15. Europian Association for Study of the Liver. EASL clinical practise guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrom in cirrhosis. Journal of Hepatology 2010 vol. 53 j 397–417