Ascites is a frequent complication of liver cirrhosis, initial treatment consists on diuretics intake, however, as the disease progresses this complication becomes more severe, consequently other therapeutic options are used.

Paracentesis is indicated when severe ascites is present and it should be accompanied by albumin infusion.

Nutritional status is generally affected in patients with liver cirrhosis, even more patients with severe ascites show decreased energy intake due to gastric compression.

Inclusion Criteria:

• Any genre.
• Age 18-70 years old.
• Diagnosis of liver cirrhosis of any etiology (documented by clinical, biochemical, radiological and / or biopsy.
• Presence of high volume ascites
• The signing of informed consent will be required for the inclusion of any patient.

Exclusion Criteria:

• Hepatic encephalopathy grade III or IV. 2) liver transplantation.
• Congestive heart failure.
• Hemodialysis.
• Acute or chronic renal failure.
• Nephrotic syndrome with protein loss.
• Alcoholism active in the last 6 months.
• Pregnancy.
• upper gastrointestinal bleeding.

The cohort will be selected from the Liver Clinic, Department of Gastroenterology at a tertiary care center in Mexico