The effect of single oral low‐dose losartan on posture‐related sodium handling in post‐TIPS ascites‐free cirrhosis
George Therapondos, Lieke Hol, Fabiana Benjaminov, Florence Wong – 29 August 2006 – Post‐TIPS ascites‐free patients with cirrhosis and previous refractory ascites demonstrate subtle sodium retention when challenged with a high sodium load. This is also observed in pre‐ascitic patients with cirrhosis. This phenomenon is dependent on an intrarenal angiotensin II (ANG II) mechanism related to the assumption of erect posture. We investigated whether similar mechanisms were involved in post‐TIPS ascites‐free patients, by studying 10 patients with functioning TIPS and no ascites.