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Related Concept Videos

Ascites01:19

Ascites

DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...

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Related Experiment Video

Updated: Jun 4, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

Persistent ascites can be effectively treated by peritoneovenous shunts.

Nisha Rahman1, Paolo De Coppi, Joe Curry

  • 1Great Ormond Street Hospital and UCL Institute of Child Health, London WC1N 3JH, United Kingdom.

Journal of Pediatric Surgery
|February 5, 2011
PubMed
Summary
This summary is machine-generated.

Peritoneovenous shunts effectively managed persistent ascites in children, with resolution in 91% of cases. This safe treatment option should be considered early for pediatric patients with refractory ascites.

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Published on: July 31, 2016

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Medicine

Background:

  • Persistent ascites in children poses significant management challenges.
  • Previous treatments like paracentesis, dietary modification, and diuretics often have limited efficacy.

Purpose of the Study:

  • To review the institutional experience with peritoneovenous shunts for persistent ascites in pediatric patients.
  • To determine the safety and effectiveness of peritoneovenous shunts in this population.

Main Methods:

  • A retrospective review of pediatric patients who underwent peritoneovenous shunt insertion for persistent ascites between 1977 and 2010.
  • Analysis of patient demographics, underlying pathologies, prior treatments, and outcomes, including complications and ascites resolution.

Main Results:

  • Thirty-one peritoneovenous shunts were inserted in 25 pediatric patients. Ascites resolved in 91% (20/22) of cases following shunt placement.
  • Postoperative complications occurred in 36% of patients, including shunt occlusion, pulmonary edema, and infection. No intraoperative complications were reported.
  • The shunt facilitated the resumption of treatment schedules in children with malignancy.

Conclusions:

  • Peritoneovenous shunting is a safe and effective treatment for persistent ascites in children.
  • This procedure represents the largest reported series in pediatric patients and should be considered as an early management option.