Algorithm for the Diagnosis of Ascites According to the Serum-Ascites Albumin Gradient (SAAG) - Flowchart
Algorithm for the Diagnosis of Ascites According to the Serum-Ascites Albumin Gradient (SAAG) - Flowchart
«Flowchart»

SAAG

SAAG

SAAG

≥ 1.1 g/dL

≥ 1.1 g/dL

≥ Greater than equal to 1.1 g/dL

<1.1 g/dL

<1.1 g/dL

< <1.1 g/dL

<Start Node>

<Start Node>

<Start Node>

<Start Node>


Cirrhosis
Late Budd-Chiari syndrome
Massive liver metastases


Cirrhosis
Late Budd-Chiari syndrome
Massive liver metastases


Cirrhosis
Late Budd-Chiari syndrome
Massive liver metastases


Cirrhosis
Late Budd-Chiari syndrome
Massive liver metastases


Biliary leak
Nephrotic syndrome
Pancreatitis
Peritoneal carcinomatosis
Tuberculosis


Biliary leak
Nephrotic syndrome
Pancreatitis
Peritoneal carcinomatosis
Tuberculosis


Biliary leak
Nephrotic syndrome
Pancreatitis
Peritoneal carcinomatosis
Tuberculosis


Biliary leak
Nephrotic syndrome
Pancreatitis
Peritoneal carcinomatosis
Tuberculosis

End

End

End

Ascitic protein

Ascitic protein

Ascitic protein

Ascitic protein <2.5 g/dL

Ascitic protein <2.5 g/dL

Ascitic protein <2.5 g/dL

Ascitic protein ≥ 2.5 g/dL

Ascitic protein ≥ 2.5 g/dL

≥ Ascitic proteingreater than equal to 2.5 g/dL


Congestive heart failure/constrictive pericarditis
Early Budd-Chiari syndrome
IVC obstruction
Sinusoidal obstruction syndrome


Congestive heart failure/constrictive pericarditis
Early Budd-Chiari syndrome
IVC obstruction
Sinusoidal obstruction syndrome


Congestive heart failure/constrictive pericarditis
Early Budd-Chiari syndrome
IVC obstruction
Sinusoidal obstruction syndrome


Congestive heart failure/constrictive pericarditis
Early Budd-Chiari syndrome
IVC obstruction
Sinusoidal obstruction syndrome

End

End

End