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Algorithmic Approach for Evaluation of a Patient with Ascites: Expert Opinion by ‎Egyptian Club of Ascites (ECA)‎

Article

Last updated: 22 Jan 2023

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Subjects

-

Tags

Hepatology

Abstract

Background and aims: Ascites is defined as pathologic accumulation of fluid in the peritoneal cavity; cirrhosis is the most common cause of ascites. Multiplicity of possible etiologies may necessitate a wide scale of investigations for such cases. Designing an algorithmic approach for ascites cases is warranted especially in limited-resources countries. The purpose of this consensus is to develop an algorithmic diagnostic workup for diagnosing adult patients with ascites ‎.‎
Material and Methods: The Egyptian Club of Ascites (ECA) is a special interest group, founded in 2016 by prof. Nadia Abdelaaty Abdelkader. It is an experienced multi-disciplinary team and different Egyptian universities were involved. ECA is seeking to offer better management options and better quality of life to ascites-patients of different etiologies all over Egypt and neighboring countries. A literature search was performed to identify and revise studies on the diagnosis of ascites, working subgroups were selected and repeated workshops were conducted‎.‎
Results: An initial diagnostic algorithm was designed by the working subgroups, a one-day conference in April 2017 was held by the ECA during which the algorithm was revised and modified using the voting method. The algorithm was validated in different university hospital, to test validity. A one-day consensus conference was held by the ECA in April 2018 during which the algorithm was finalized and approved by the group ‎.
Conclusion: A consensus on the diagnostic workup of adult patients with ascites was developed by the ECA hoping that it would enable for a judicious use of different investigations in this field ‎‎.

DOI

10.21608/aeji.2022.139892.1226

Keywords

Egyptian Club of Ascites, diagnostic algorithm, Unexplained ascites

Authors

First Name

Mohamed

Last Name

Amin Sakr

MiddleName

-

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎

Email

mhmdskr1100@yahoo.com

City

-

Orcid

-

First Name

Nadia

Last Name

Abdelkader

MiddleName

Abdelaaty

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎Founder of Egyptian Club of Ascites (ECA)‎.

Email

dr.nadiaabdelaaty@gmail.com

City

-

Orcid

-

First Name

Yasser

Last Name

Fouad

MiddleName

-

Affiliation

Department of Gastroenterology, Hepatology and Endemic Medicine, Faculty of Medicine, Minia University, Minia, Egypt.‎‎

Email

yasserfouad10@yahoo.com

City

-

Orcid

-

First Name

Amgad

Last Name

El Zahaby

MiddleName

-

Affiliation

Department of Hepatology, Gastroenterology and Infectious Diseases, Al-Azhar University, ‎Egypt.

Email

amgad_elzahaby@hotmail.com

City

-

Orcid

-

First Name

Hussien

Last Name

Okasha

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.‎‎

Email

okasha.hussein@gmail.com

City

-

Orcid

-

First Name

Hussein

Last Name

El Amin

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Assuit University, Asuit, Egypt.‎‎

Email

elamin67@yahoo.com

City

-

Orcid

-

First Name

Nadia

Last Name

Elwan

MiddleName

-

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.‎‎

Email

nad.dec1983@gmail.com

City

-

Orcid

-

First Name

Waleed

Last Name

Abd Eldayem

MiddleName

A

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.‎‎

Email

drwalid_dayem@yahoo.com

City

Zagazig

Orcid

-

First Name

Hesham

Last Name

El Wakiel

MiddleName

M

Affiliation

Department of Medical Oncology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎

Email

hesham_elwekel@yahoo.com

City

-

Orcid

-

First Name

Salah

Last Name

Fayed

MiddleName

-

Affiliation

Department of Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

salah.t.fayed@gmail.com

City

-

Orcid

-

First Name

Mohamad

Last Name

Ghazy

MiddleName

Shaker

Affiliation

Department of Intervention Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎

Email

drshakerghazy@gmail.com

City

-

Orcid

-

First Name

Mohamad

Last Name

Elghareeb

MiddleName

-

Affiliation

Department of Intervention Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎

Email

mgharebo@gmail.com

City

-

Orcid

-

First Name

Hisham

Last Name

El Akkad

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎

Email

hishsm_akkad@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

S Abdelmoaty

MiddleName

-

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.‎‎

Email

ahmedsamir@med.asu.edu.eg

City

cairo

Orcid

0000000226469646

Volume

12

Article Issue

2

Related Issue

34231

Issue Date

2022-06-01

Receive Date

2022-05-21

Publish Date

2022-06-01

Page Start

186

Page End

193

Print ISSN

2090-7613

Online ISSN

2090-7184

Article File

AEJI_Volume 12_Issue 2_Pages 186-193.pdf

PDF . 830.7kB

Link

https://aeji.journals.ekb.eg/article_240240.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=240240

Order

13

Type

Opinions, Commentaries

Type Code

623

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023