A pathophysiological interpretation of unresponsiveness to spironolactone in a stepped‐care approach to the diuretic treatment of ascites in nonazotemic cirrhotic patients
Angelo Gatta, Paolo Angeli, Lorenza Caregaro, Francesca Menon, David Sacerdoti, Carlo Merkel – 1 August 1991 – It has been hypothesized that the magnitude of proximal sodium reabsorption affects the response to aldosterone antagonists in nonazotemic cirrhotic patients with ascites. To verify this hypothesis, we evaluated intrarenal sodium handling by lithium clearance in 51 nonazotemic ascitic cirrhotic patients and in 23 controls who were maintained on the same low‐sodium diet (80 mmol/day).