Chylous Ascites: Reassessment of Diagnostic Criteria in Patients With Portal Hypertension

Link to article at PubMed

Am J Gastroenterol. 2023 Feb 1;118(2):364-366. doi: 10.14309/ajg.0000000000002072. Epub 2022 Oct 11.


INTRODUCTION: The triglyceride (TG) threshold for diagnosis of chylous ascites in patients with portal hypertension remains uncertain.

METHODS: Retrospective analysis of lipoprotein electrophoresis was conducted in 286 consecutive ascites samples.

RESULTS: Ascitic TG ≥ 81 mg/dL is 95.4% sensitive and 94.6% specific for chylous ascites diagnosed by the presence of significant chylomicron population.

DISCUSSION: The cutoff for chylous ascites diagnosis should be TG ≥ 81 mg/dL.

PMID:36379155 | DOI:10.14309/ajg.0000000000002072

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