ConsensusCurrent

KASL — KASL clinical practice guidelines for liver cirrhosis: Ascites and related complications 2026.

KASL, 2026

Issued regional guidance for ascites, paracentesis, SBP, AKI and HRS. Use albumin for supported indications with congestion surveillance. HRS diagnostic volume-expansion wording differs from ADQI/ICA 2024; do not merge frameworks into a mandatory challenge in fluid-overloaded patients. Grades vary by recommendation.

Expert opinionLow certainty

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Clinical Context & Relevant Topics (2)

Disease Reference

Decompensated Cirrhosis & ACLF

Recognition and organ-support of decompensated cirrhosis and acute-on-chronic liver failure, including bleeding, infection, encephalopathy and transplant triage

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Hepatorenal Syndrome–AKI

Diagnosis and ICU management of HRS-AKI with albumin, vasoconstrictors, respiratory-safety monitoring, RRT and transplant planning

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