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Ascites is one of the most common presentation in patient with liver diseases, especially in patients with cirrhosis of liver .Alcohol is one of the most common cause for the cirrhosis of liver. Serum ascites albumin gradient is very useful in differentiating the cause of ascites is due to portal hypertension or not. SAAG is one of the easy method to find out whether the ascites is due to portal hypertension or not by simply doing ascitic fluid analysis. Aim of the study: to study about the correlation between SAAG and the gradient of ascites and its change with diuretic therapy and its relation with ascitic fluid total protein. Methods and study: newly diagnosed patients with ascites, who was not on diuretic therapy were selected . ascitic fluid analysis were send along with serum albumin. SAAG value had been calculated and its relation with all aspects were studied. SAAG had been calculated before and after diuretic therapy and studied. Result: most of the patient came under high gradient as cites and had persistant high gradient even after diuretic therapy. Diuretic therapy did not produce any significant change in SAAG in the study population. The effect of diuretic therapy on Ascitic Fluid Total Protein had been studied and showed its not a good indicator of cirrhotic ascites especially after diuretic therapy.

Serum Ascites Albumin Gradient with Reference to Ascites in Cirrhosis with Portal Hypertenson