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Peritoneovenous shunt in malignant ascites. The Bordet Institute experience from 1975-1998
1Gastrointestinal Department Jules Bordet Institute, Tumor Center of the Université Libre de Bruxelles, Belgium.
Background/Aims:
This is the review of our experience in the treatment of malignant ascites using Le Veen and Denver peritoneovenous shunt.
Methodology:
From 1975-1998, 24 peritoneovenous shunts were inserted in 22 patients with malignant ascites.
Results:
All patients benefited from the procedure. The principal cause of failure was shunt occlusion (n = 5).
Conclusions:
This study permits us to conclude that a preoperative appropriated selection of patients, should decrease failure rate. Patients should be sent to surgery as soon as the diagnosis of recalcitrant ascites is confirmed, to obtain a longer and more comfortable quality of life with terminal cancer.
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