[Management of ascitis in patients with cirrhosis].

Ascites is the most common complications of patients with cirrhosis. The treatment of ascites has been based on the ascitic volume. MODERATE ASCITIS: an oral diuretic and a low-salt diet are indicated. Efficacy can be assessed from the weight curve but also from tolerance. MAJOR ASCITIS: evacuation via a paracenthesis should be done in a single session associated with vascular filling to prevent hypovolemia. Immediately after drainage, an oral diuretic is given to prevent recurrence. REFRACTORY ASCITIS: different therapeutic options include iterative paracenthesis, peritoneal-jugular-shunt and transjugular intrahepatic portosystemic shunt.