International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations.
Albumin infusion
Cirrhosis
Hepatic hydrothorax
Indwelling pleural catheter
Liver transplantation
Portal hypertension
Spontaneous bacterial empyema
TIPS
Talcage pleurodesis
Therapeutic pleural puncture
Journal
BMC gastroenterology
ISSN: 1471-230X
Titre abrégé: BMC Gastroenterol
Pays: England
ID NLM: 100968547
Informations de publication
Date de publication:
12 Sep 2023
12 Sep 2023
Historique:
received:
02
05
2022
accepted:
23
08
2023
medline:
13
9
2023
pubmed:
12
9
2023
entrez:
11
9
2023
Statut:
epublish
Résumé
The Hepatic hydrothorax is a pleural effusion related to portal hypertension; its diagnosis and therapeutic management may be difficult. The aims of this article are which follows: To gather the practices of hepatogastroenterologists or pulmonologists practitioners regarding the diagnosis and management of the hepatic hydrothorax. Practitioners from 13 French- speaking countries were invited to answer an online questionnaire on the hepatic hydrothorax diagnosis and its management. Five hundred twenty-eight practitioners (80% from France) responded to this survey. 75% were hepatogastroenterologists, 20% pulmonologists and the remaining 5% belonged to other specialities. The Hepatic hydrothorax can be located on the left lung for 64% of the responders (66% hepatogastroenterologists vs 57% pulmonologists; p = 0.25); The Hepatic hydrothorax can exist in the absence of clinical ascites for 91% of the responders (93% hepatogastroenterologists vs 88% pulmonologists; p = 0.27). An Ultrasound pleural scanning was systematically performed before a puncture for 43% of the responders (36% hepatogastroenterologists vs 70% pulmonologists; p < 0.001). A chest X-ray was performed before a puncture for 73% of the respondeurs (79% hepatogastroenterologists vs 54% pulmonologists; p < 0.001). In case of a spontaneous bacterial empyema, an albumin infusion was used by 73% hepatogastroenterologists and 20% pulmonologists (p < 0.001). A drain was used by 37% of the responders (37% hepatogastroenterologists vs 31% pulmonologists; p = 0.26).An Indwelling pleural catheter was used by 50% pulmonologists and 22% hepatogastroenterologists (p < 0.01). TIPS was recommended by 78% of the responders (85% hepatogastroenterologists vs 52% pulmonologists; p < 0.001) and a liver transplantation, by 76% of the responders (86% hepatogastroenterologists vs 44% pulmonologists; p < 0.001). The results of this large study provide important data on practices of French speaking hepatogastroenterologists and pulmonologists; it appears that recommendations are warranted.
Sections du résumé
BACKGROUND
BACKGROUND
The Hepatic hydrothorax is a pleural effusion related to portal hypertension; its diagnosis and therapeutic management may be difficult. The aims of this article are which follows: To gather the practices of hepatogastroenterologists or pulmonologists practitioners regarding the diagnosis and management of the hepatic hydrothorax.
METHODS
METHODS
Practitioners from 13 French- speaking countries were invited to answer an online questionnaire on the hepatic hydrothorax diagnosis and its management.
RESULTS
RESULTS
Five hundred twenty-eight practitioners (80% from France) responded to this survey. 75% were hepatogastroenterologists, 20% pulmonologists and the remaining 5% belonged to other specialities. The Hepatic hydrothorax can be located on the left lung for 64% of the responders (66% hepatogastroenterologists vs 57% pulmonologists; p = 0.25); The Hepatic hydrothorax can exist in the absence of clinical ascites for 91% of the responders (93% hepatogastroenterologists vs 88% pulmonologists; p = 0.27). An Ultrasound pleural scanning was systematically performed before a puncture for 43% of the responders (36% hepatogastroenterologists vs 70% pulmonologists; p < 0.001). A chest X-ray was performed before a puncture for 73% of the respondeurs (79% hepatogastroenterologists vs 54% pulmonologists; p < 0.001). In case of a spontaneous bacterial empyema, an albumin infusion was used by 73% hepatogastroenterologists and 20% pulmonologists (p < 0.001). A drain was used by 37% of the responders (37% hepatogastroenterologists vs 31% pulmonologists; p = 0.26).An Indwelling pleural catheter was used by 50% pulmonologists and 22% hepatogastroenterologists (p < 0.01). TIPS was recommended by 78% of the responders (85% hepatogastroenterologists vs 52% pulmonologists; p < 0.001) and a liver transplantation, by 76% of the responders (86% hepatogastroenterologists vs 44% pulmonologists; p < 0.001).
CONCLUSIONS
CONCLUSIONS
The results of this large study provide important data on practices of French speaking hepatogastroenterologists and pulmonologists; it appears that recommendations are warranted.
Identifiants
pubmed: 37697230
doi: 10.1186/s12876-023-02931-z
pii: 10.1186/s12876-023-02931-z
pmc: PMC10496231
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
305Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Badillo R, Rockey DC. Hepatic hydrothorax: clinical features, management, and outcomes in 77 patients and review of the literature. Medecine. 2014;93:135–42.
doi: 10.1097/MD.0000000000000025
Cadranel JF, Jouannaud V, Duron JJ. Complications pleuropulmonaires : comment traiter les complications pleuropulmonaires ? Prise en charge d’un hydrothorax hépatique. Gastroenterol Clin Biol. 2004;28:B287–300 PMID :15150525.
doi: 10.1016/S0399-8320(04)95268-2
pubmed: 15150525
Cadranel JF, Garioud A, Lison H, Medmoun M, Thevenot T. Hepatic Hydrothorax. Presse Med. 2016;45(10):815–23 PMID: 27242207.
doi: 10.1016/j.lpm.2016.04.024
pubmed: 27242207
Lieberman FL, Hidemura R, Peters RL, Reynolds TB. Pathogenesis and treatment of hydrothorax complicating cirrhosis with ascites. Ann Intern Med. 1966;64:341–51 PMID :5902279.
doi: 10.7326/0003-4819-64-2-341
pubmed: 5902279
Singh A, Bajwa A, Shujaat A. Evidence-based review of the management of hepatic hydrothorax. Respiration. 2013;86:155–73. https://doi.org/10.1159/000346996 . PMID :23571767.
doi: 10.1159/000346996
pubmed: 23571767
Lazaridis KN, Frank JW, Krowka MJ, Kamath PS. Hepatic hydrothorax : pathogenesis, diagnosis, and management. Am J Med. 1999;107:262–7 PMID :10492320.
doi: 10.1016/S0002-9343(99)00217-X
pubmed: 10492320
Giacobbe A, Facciorusso D, Tonti P, et al. Hydrothorax complicating cirrhosis in the absence of ascites. J Clin Gastroenterol. 1993;16:271–2 PMID :8228096.
doi: 10.1097/00004836-199310000-00024
Banini BA, Alwatari Y, Stovall M, Ogden N, Gershman E, Shah RD, Strife BJ, Shojaee S, Sterling RK. Multidisciplinary management of hepatic hydrothorax in 2020: an evidence-based review and guidance. Hepatology. 2020;72(5):1851–63. https://doi.org/10.1002/hep.31434 . Epub 2020 Oct 22.
doi: 10.1002/hep.31434
pubmed: 32585037
Thevenot T, Cadranel JF, Di Martino V, et al. A national French survey on the use of growth factors as adjuvant treatment of chronic hepatitis C. Hepatology. 2007;45:377–83.
doi: 10.1002/hep.21517
pubmed: 17256721
Thevenot T, Degand T, Grelat N, et al. National Association of General Hospital Hepatogastroenterologists. A French national survey on the use of antibiotic prophylaxis in cirrhotic patients. Liver Int. 2013;33:389–97.
doi: 10.1111/liv.12093
pubmed: 23302021
Garioud G, Cadranel JF, Nousbaum JB, Thevenot T, Dao T, Louvet A, et al. Albumin Use in Patients With Cirrhosis in France : Results of the « ALBU-LIVE » Survey. A Case for Better EASL Guidelines Diffusion and/or Revision. J Clin Gastroenterol. 2017;51(9):831–8. https://doi.org/10.1097/MCG.0000000000000735 .
Ajmi S, Hassine H, Guezguez M, et al. Isotopic exploration of hepatic hydrothorax : ten cases. Gastroenterol Clin Biol. 2004;28:462–6 PMID :15243321.
doi: 10.1016/S0399-8320(04)94958-5
pubmed: 15243321
Shojaee S, Khalid M, Kallingal G, Kang L, Rahman N. Repeat thoracentesis in hepatic hydrothorax and non-hepatic hydrothorax Effusions : a case-control study. Respiration. 2018;96:330–7.
doi: 10.1159/000490001
pubmed: 29991046
Xiol C, Castellote J, Cortes-Beut R, et al. Usefulness and complications oh thoracentesis in cirrhotic patients. Am J Med. 2001;111:67–9 PMID :11448663.
doi: 10.1016/S0002-9343(01)00744-6
pubmed: 11448663
Xiol X, Castellote J, Guardiola J, et al. Spontaneous bacterial empyema in cirrhotic patients : a prospective study. Hepatology. 1996;23:719–23 PMID :8666323.
doi: 10.1002/hep.510230410
pubmed: 8666323
Cardenas A, Kelleher T, Chopra S. Review article : hepatic hydrothorax. Aliment Pharmacol Ther. 2004;20:271–9 PMID :15274663.
doi: 10.1111/j.1365-2036.2004.02081.x
pubmed: 15274663
Gur C, Ilan Y, Shibolet O. Hepatic hydrothorax-pathophysiology, diagnosis and treatment-review of literature. Liver Int. 2004;24:281–4 PMID :15287850.
doi: 10.1111/j.1478-3231.2004.0936.x
pubmed: 15287850
Runyon BA, Practice Guidelines Committee AASLD. Management of adult patients with ascites due to cirrhosis. Hepatology. 2004;39:841–56.
doi: 10.1002/hep.20066
pubmed: 14999706
Orman ES, Lok AS. Outcomes of patients with chest tube insertion for hepatic hydrothorax. Hepatol Int. 2009;3:582–6.
doi: 10.1007/s12072-009-9136-z
pubmed: 19669710
pmcid: 2790584
Liu L, Haddadin H, Bodian C, et al. Outcome analysis of cirrhotic patients undergoing chest tube placement. Chest. 2004;126:142–8 PMID : 15249455.
doi: 10.1378/chest.126.1.142
pubmed: 15249455
Ridha A, Al-Abboodi Y, Fasullo M. The Outcome of thoracentesis versus chest tube placement for hepatic hydrothorax in patients with Cirrhosis : a nationwide analysis of the national inpatient sample. Gastroenterol Res Pract. 2017;2017:5872068.
doi: 10.1155/2017/5872068
pubmed: 29317865
pmcid: 5727694
Runyon BA, Aasid. Introduction of the revised American association for the study of liver diseases practice guideline management of adult patients with ascites due to cirrhosis 2012. Hepatology. 2013;57:1651–3.
doi: 10.1002/hep.26359
pubmed: 23463403
Ferrante D, Arguedas MR, Cerfolio RJ, et al. Video-assisted thoracoscopic surgery with talc pleurodesis in the management of symptomatic hepatic hydrothorax. Am J Gastroenterol. 2002;97:3172–5 PMID : 12492206.
doi: 10.1111/j.1572-0241.2002.07126.x
pubmed: 12492206
de MilanezCampos JR, Filho LO, de WerebeCampos E, et al. Thoracoscopy and talc poudrage in the management of hepatic hydrothorax. Chest. 2000;118:13–7 PMID : 10893352.
doi: 10.1378/chest.118.1.13
Chen A, Massoni J, Jung D, Crippin J. Indwelling Tunneled Pleural Catheters for the management of hepatic Hydrothorax. A Pilot Study. Ann Am Thorac Soc. 2016;13:862–6.
doi: 10.1513/AnnalsATS.201510-688BC
pubmed: 27015392
Kniese C, Diab K, Ghabril M, Bosslet G. Indwelling pleural catheters in hepatic Hydrothorax : a single-center series of outcomes and complications. Chest. 2019;155:307–14.
doi: 10.1016/j.chest.2018.07.001
pubmed: 29990479
Shojaee S, Rahman N, Haas K, Kern R, Leise M, Alnijoumi M, Lamb C, et al. Indwelling tunneled pleural catheters for refractory hepatic hydrothorax in patientswith cirrhosis : a Multicenter study. Chest. 2019;155:546–53.
doi: 10.1016/j.chest.2018.08.1034
pubmed: 30171863
Gordon FD, Anastopoulos HT, Crenshaw W, et al. The successful treatment of symptomatic, refractory hepatic hydrothorax with transjugular intrahepatic portosystemic shunt. Hepatology. 1997;25:1366–9 PMID : 9185754.
doi: 10.1002/hep.510250611
pubmed: 9185754
Jeffries M, Kazanjian S, Wilson M, et al. Transjugular Intrahepatic Portosystemic Shunts and Liver Transplantation in Patients With Refractory Hepatic Hydrothorax. Liver Transpl Surg. 1998;4:416–23 PMID : 9724480.
doi: 10.1002/lt.500040506
pubmed: 9724480
Spencer EB, Cohen DT, Darcy MD. Safety and Efficacy of Transjugular Intrahepatic Portosystemic Shunt Creation for the Treatment of Hepatic Hydrothorax. J Vasc Interv Radiol. 2002;13:385–90 PMID : 11932369.
doi: 10.1016/S1051-0443(07)61741-2
pubmed: 11932369
Siegerstetter V, Deibert P, Ochs A, et al. Treatment of refractory hepatic hydrothorax with transjugular intrahepatic portosystemic shunt : long-term results in 40 patients. Eur J Gastroenterol Hepatol. 2001;13:529–34 PMID : 11396532.
doi: 10.1097/00042737-200105000-00011
pubmed: 11396532
Strauss RM, Martin LG, Kaufman SL, et al. Transjugular intrahepatic portal systemic shunt for the management of symptomatic cirrhotic hydrothorax. Am J Gastroenterol. 1994;89:1520–2 PMID : 8079930.
pubmed: 8079930
Ditah IC, Al Bawardy BF, Saberi B, Ditah C, Kamath PS. Transjugular intrahepatic portosystemic stent shunt for medically refractory hepatic hydrothorax : a systematic review and cumulative meta-analysis. World J Hepatol. 2015;7:1797–806.
doi: 10.4254/wjh.v7.i13.1797
pubmed: 26167253
pmcid: 4491909
Bureau C, Thabut D, Jezequel C, Archambeaud I, D’Alteroche L, Dharancy S, et al. The Use of Rifaximin in the Prevention of Overt Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt : a Randomized Controlled Trial. Ann Intern Med. 2021;174(5):633–40. https://doi.org/10.7326/M20-0202 . Epub 2021 Feb 2.
doi: 10.7326/M20-0202
pubmed: 33524293
Sersté T, Moreno C, Francoz C, et al. The impact of preoperative hepatic hydrothorax on the outcome of adult liver tranplantation. Eur J Gastroenterol Hepatol. 2010;22(2):207–12. https://doi.org/10.1097/MEG.0b013e3283311140 . PMID : 19779352.
doi: 10.1097/MEG.0b013e3283311140
pubmed: 19779352
Xiol X, Tremosa G, Castellote J, et al. Liver transplantation in patients with hepatic hydrothorax. Transplant Int. 2005;18:672 PMID : 15910292.
doi: 10.1111/j.1432-2277.2005.00116.x
Mohamed A, Atef M, Alsebaey A, Musa Elhabshy M, Salama M. Combined spontaneous bacterial empyema and peritonitis in cirrhotic patients with ascites and hepatic hydrothorax. Arab J Gastroenterol. 2017;18:104–7.
doi: 10.1016/j.ajg.2017.05.010
pubmed: 28579346
Chaaban T, Kanj N, Bou Akl I. Hepatic hydrothorax: an updated review on a challenging disease. Lung. 2019;197(4):399–405. https://doi.org/10.1007/s00408-019-00231-6 . Epub 2019 May 25. PMID: 31129701 Review.
doi: 10.1007/s00408-019-00231-6
pubmed: 31129701
Huang PM, Kuo SW, Chen JS, Lee JM. Thoracoscopic mesh repair of diaphragmatic defects in hepatic Hydrothorax : a 10-year experience. Ann Thorac Surg. 2016;101:1921–7.
doi: 10.1016/j.athoracsur.2015.11.023
pubmed: 26897323
Cerfolio RJ, Bryant AS. Efficacy of video-assisted thoracoscopic surgery with talc pleurodesis for porous diaphragm syndrome in patients with refractory hepatic hydrothorax. Ann Thorac Surg. 2006;82:457–9.
doi: 10.1016/j.athoracsur.2006.03.057
pubmed: 16863743
Hung TH, Tseng CW, Tsai CC, Tseng KC, Hsieh YH. The long-term outcomes of cirrhotic patients with pleural effusion. Saudi J Gastroenterol. 2018;24:46–51.
doi: 10.4103/sjg.SJG_336_17
pubmed: 29451184
pmcid: 5848324