Esophageal Varix - Bleeding (12 of 15)

The rapid and high inflow of arterial blood into the
splanchnic microcirculation is the main factor increasing
hydrostatic pressure in the splanchnic capillaries leading to
an excessive production of splanchnic lymph over
lymphatic return. Lymph leakage from the liver and other
splanchnic organs is the mechanism of fluid accumulation
in the abdominal cavity. Continuous renal sodium and
water retention perpetuates ascites formation. Large
volume paracentesis associated with albumin infusion is
the treatment of choice of tense ascites because it is
very effective and rapid and is associated with fewer
complications that the traditional treatment (sodium
restrictionand diuretics)