Therapy of ascites in patients with hepatitis C liver cirrhosis: Systemic meta-analysis cohort study

Wei Chen, Xinxin Giles, Xiaoyan Liu

American journal of biomedicine(2023)

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摘要
The 12th leading cause of death in the United States is cirrhosis. Recent studies have shown that liver fibrosis is an ever-evolving process and that early cirrhosis may be reversible. One in three people with cirrhosis is unaware of their condition. The most well-known reasons for cirrhosis are viral hepatitis C, alcoholic liver sickness, and nonalcoholic steatohepatitis. The aim of the study is to compare the different therapeutic approaches to patients with liver cirrhosis due to the hepatitis C and ascites systemic meta‐analysis study. In this study, we looked through Embase, MEDLINE, Science Reference Record Extended, and preliminary registers until December 2022 to distinguish randomized clinical preliminaries in patients with cirrhosis because of hepatitis C and ascites. The study comprised 2344 revised articles. Roughly 30.3% of members got paracentesis in addition to liquid substitution. A transjugular intrahepatic portosystemic shunt was associated with a higher rate of ascites resolution at maximal follow-up (HR 5.22; 95% CrI 1.97 to 76.67) and adding aldosterone adversaries to paracentesis in addition to liquid substitution (HR 20.22; 95% CrI 4.03 to 434.91) contrasted with paracentesis in addition to liquid substitution (extremely low-sureness proof). In conclusion, in light of extremely low-assurance proof, transjugular intrahepatic portosystemic shunt and adding aldosterone adversaries to paracentesis in addition to liquid substitution might expand the goal of ascites contrasted with paracentesis in addition to liquid substitution.
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关键词
ascites,cirrhosis,liver,meta-analysis
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