The purpose of this research study is to see how effective bioelectric impedance analysis (BIA) is in determining body composition (the amount of fat versus muscle in the body) and nutritional status in patients with End Stage Liver Disease (ESLD)

The aim of this study is to report the validity of mBIA to determine body composition changes pre and post LVP (Large Volume Paracentesis)

• 18 years of age or older
• Cirrhotic patients with refractory ascites requiring LVP (a treatment to remove large volumes of excess fluid from the abdominal cavity)
• End Stage Liver Disease

Inclusion Criteria:

• Patients with ESLD requiring LVP.
• Age over 18.
• Ability to provide written informed consent.

Exclusion Criteria:

• Organ retransplant candidates.
• Patient with use of any investigational agent within 30 days before LVP.
• Pregnant or lactating.
• Patients with non-bioprosthetic heart valves pacemakers, defibrillators, artificial joints, pins, plates, or other types of metal objects in the body.
• Amputations other than fingers or toes.