Hepatic Hydrothorax: An Updated Review on a Challenging Disease

Chaaban, Toufic; Kanj, Nadim; Akl, Imad Bou

doi:10.1007/s00408-019-00231-6

Cited by 26 publications

(38 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The origin of effusion in group I was malignant pleural effusion in 15 patients (60%) and hepatic hydrothorax in 10 patients (40%), and in group II was malignant pleural effusion in 11 patients (44%) and hepatic hydrothorax in 14 patients (56%) as seen in Table 4. Hepatic hydrothorax as well as malignant pleural effusion is recurrent and rapidly accumulative, so many clinicians are convinced to place indwelling pleural catheters (IPCs) for non-malignant effusions like hepatic hydrothorax, sometimes spontaneous mechanical pleurodesis occurs, sometimes chemical pleurodesis with sclerosing agent is needed [13][14][15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

A study of efficacy and safety of tranexamic acid versus iodopovidone in pleurodesis via pigtail catheter in management of recurrent pleural effusion

Zaher

Dib

2020

Egypt J Bronchol

View full text Add to dashboard Cite

Background: Researches to detect the ideal agent for pleurodesis are still continuous; iodopovidone is one of the best agents for pleurodesis that are commonly used. Tranexamic acid is also considered by many authors as a safe, cheap, and effective agent for pleurodesis. Results: Group I (patients subjected to pleurodesis using tranexamic acid) had a higher complete response with a success rate 88% compared with 76% for group II (patients subjected to pleurodesis using iodopovidone) at the end of the study in 12 weeks. Complications were nearly equal in both groups. Chest pain, hypotension, and fever were the most common reported complications. Conclusions: Tranexamic acid and iodopovidone were found to be effective alternative agents for pleurodesis with low cost and minimal complications.

show abstract

Section: Discussionmentioning

confidence: 99%

A study of efficacy and safety of tranexamic acid versus iodopovidone in pleurodesis via pigtail catheter in management of recurrent pleural effusion

Zaher

Dib

2020

Egypt J Bronchol

View full text Add to dashboard Cite

show abstract

“…The presence of indwelling catheters in the pleural space in this population of patients is associated with significant morbidity and generally low rates of pleurodesis. 1 –3,5,9,10,12,13 In addition, chronic and ongoing drainage can lead to malnutrition and decreased serum albumin. 11,13…”

Section: Discussionmentioning

confidence: 99%

“…Driven by the pressure gradient between the abdomen and negative-pressure intrapleural space, this fluid moves into the pleural cavity via subtle diaphragmatic defects. 1 –4 Hepatic hydrothorax occurs in up to 15% of patients with end-stage liver disease, 4 is most often right-sided and is usually characterized by transudative effusions. 1,3,5 –7 It commonly leads to minimal clinical symptoms, 1 –6 but in some it can cause significant pulmonary disease including respiratory failure.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,4 For refractory effusion, transjugular intrahepatic portosystemic shunt (TIPS) can provide relief, and orthotopic liver transplantation offers definitive treatment. 1 –4,6 In some cases, repeated therapeutic thoracenteses can be offered, but are not recommended as routine management due to rapid fluid reaccumulation and concern for cumulative risk of each procedure. 1,8 More definitive pleural drainage, such as tube thoracostomy, video-assisted thoracoscopic surgery (VATS) decortication, or indwelling pleural catheters, have variable success and are associated with significant morbidity.…”

Section: Introductionmentioning

confidence: 99%

“…1,8 More definitive pleural drainage, such as tube thoracostomy, video-assisted thoracoscopic surgery (VATS) decortication, or indwelling pleural catheters, have variable success and are associated with significant morbidity. 1 –3,5, 9 –13…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preoperative Trapped Lung Is Associated With Increased Mortality After Orthotopic Liver Transplantation

et al. 2020

View full text Add to dashboard Cite

Introduction: Trapped lung, characterized by atelectatic lung unable to reexpand and fill the thoracic cavity due to a restricting fibrous visceral pleural peel, is occasionally seen in patients with end-stage liver disease complicated by hepatic hydrothorax. Limited data suggest that trapped lung prior to orthotopic liver transplantation may be associated with poor outcomes. Research Question: What is the clinical significance of trapped lung in patients receiving orthotopic liver transplantation? Design: We performed a retrospective analysis of patients who underwent liver transplantation over an 8-year period. Baseline clinical characteristics and postoperative outcomes of adult patients with trapped lung were analyzed and compared to the overall cohort of liver transplant recipients and controls matched 3:1 based on age, sex, Model for End-Stage Liver Disease (MELD) score, and presence of pleural effusion. Results: Of the 1193 patients who underwent liver transplantation, we identified 20 patients (1.68%) with trapped lung. The probability of 1 and 2-year survival were 75.0% and 57.1%, compared to 85.6% and 80.4% (p = 0.02) in all liver transplant recipients and 87.9% and 81.1% (p = 0.03) in matched controls respectively. Patients with trapped lung had a longer hospital length of stay compared to the total liver transplant population (geometric mean 54.9 ± 8.4 vs. 27.2 ± 0.7 days, p ≤ 0.001), when adjusted for age and MELD score. Discussion: Patients with trapped prior to orthotopic liver transplantation have increased probability of mortality as well as increased health care utilization. This is a small retrospective analysis, and further prospective investigation is warranted.

show abstract

A case of refractory hepatic hydrothorax due to pleuroperitoneal communication successfully controlled by diaphragmatic plication and subsequent peritoneovenous shunting

Nagai,

Sugimoto,

Yamamoto

et al. 2023

Clin J Gastroenterol

View full text Add to dashboard Cite

Hepatic Hydrothorax: An Updated Review on a Challenging Disease

Cited by 26 publications

References 72 publications

A study of efficacy and safety of tranexamic acid versus iodopovidone in pleurodesis via pigtail catheter in management of recurrent pleural effusion

A study of efficacy and safety of tranexamic acid versus iodopovidone in pleurodesis via pigtail catheter in management of recurrent pleural effusion

Preoperative Trapped Lung Is Associated With Increased Mortality After Orthotopic Liver Transplantation

A case of refractory hepatic hydrothorax due to pleuroperitoneal communication successfully controlled by diaphragmatic plication and subsequent peritoneovenous shunting

Contact Info

Product

Resources

About