Serum ascites albumin gradient

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

SAAG

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DefinitionThis section has been translated automatically.

SAAG defines the albumin content of the ascites in relation to the albumin content of the blood (Serum-Ascites-Albumin-Gradient = SAAG) SAAG can be helpful in differentiating between portal-hypertensive and non-portal-hypertensive ascites genesis (Younas M et al. 2012). Both values (albumin in blood and ascites) should be determined on the same day of examination.

SAAG > 1.1 g/dl: portal hypertension likely.

SAAG > 2.5 g/dl: ascites formation in the context of heart failure or early Budd-Chiari syndrome.

SAAG < 1.1 g/dl portal hypertension less likely; indicates pancreatitis, peritoneal carcinomatosis, a bile leak, tuberculosis or nephrotic syndrome.

LiteratureThis section has been translated automatically.

  1. Younas M det al (2012) Role of serum-ascites albumin gradient in differential diagnosis of ascites. J Ayub Med Coll Abbottabad 24:97-99.

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Last updated on: 29.10.2020