A total 97 paired serum & ascites fluid samples from ascitic patients were
collected and analyzed.
The utility of the serum - ascites albumin gradient & the exudate
transudate concept as defined by ascitic fluid total protein concentration
(A.F.T.P) were compared.
46 patients were suffering from liver cirrhosis (47.4%) & 43 patients (93.5%)
from this group had AFTP < 2.5 g/dl . Albumin gradient in the same patients
was > 1.1 g/dl . In 10 patients (100%) with ascites due to malignancy AFTP >
2.5 g/dl ,and in 50% of the patients in this group albumin gradient > 1.1 g/dl
and in the rest of the patients (50%) with malignant ascites albumin
gradient was < 1.1 g/dl.
Only in diagnosis of malignant ascites AFTP was preferred to albumin
gradient in our research but in other cases it was not any superiority
between the tow concepts.
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