23rd July 2023

A 57-year-old man is being reviewed in clinic. He has a history of ALD with ascites and portal hypertensive gastropathy

A 57-year-old man is being reviewed in clinic. He has a history of ALD with ascites and portal hypertensive gastropathy. He has an additional past medical history of asthma, depression and psoriasis.

His ascites was previously controlled with diuretic treatment; however, he has now developed recurrent ascites despite medication and repeated paracentesis. He has no history of encephalopathy and his blood tests do not show any other evidence of decompensation. He is currently still drinking alcohol.

What would be the next appropriate step to consider?

Select the SINGLE most appropriate option from the list below. Select ONE option only.