Abstract
Spontaneous bacterial peritonitis (SBP) is the main cause of death in patients with liver cirrhosis. SBP is a disease of the gut – after bacterial translocation of monomicrobial flora in mesenteric lymph nodes, while secondary bacterial peritonitis (SecBP) is due to an intra-abdominal source of infection – perforation or inflammation. Peritonitis in liver cirrhosis is classified as spontaneous, secondary and perforative. The frequency of SBP is ~10% of all hospitalized patients with cirrhosis and ascites, while the frequency of SecBP is ~5%, therefore SecBP reports are few. The treatment of SBP is conducted with drugs, while SecBP is treated preferably surgically. While the mortality from SBP nowadays has decreased from 90% to 20%, in SecBP it remains high (60-80%).
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