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What are the types of ascites?

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Traditionally, ascites is divided into 2 types: transudative or exudative. This classification is based on the amount of protein found in the fluid.

A more useful system has been developed based on the amount of albumin in the ascitic fluid compared to the serum albumin (albumin measured in the blood). This is called the Serum Ascites Albumin Gradient or SAAG.

  • Ascites related to portal hypertension (cirrhosis, congestive heart failure, Budd-Chiari) is generally greater than 1.1.
  • Ascites caused by other factors (malignant, pancreatitis) is lower than 1.1.

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