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Central vein hyperalimentation in pancreatic ascites
The American Journal of Gastroenterology
|March 1, 1983
Summary
Central vein hyperalimentation effectively treats pancreatic ascites from pancreatic duct rupture or pseudocysts. This therapy offers significant relief, even when initial treatments fail, highlighting its therapeutic potential.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Internal Medicine
Background:
- Pancreatic ascites is a serious complication often requiring invasive treatment.
- Peripheral vein alimentation therapy can be insufficient for managing pancreatic ascites.
- Rupture of the main pancreatic duct and pancreatic pseudocysts are common causes of pancreatic ascites.
Observation:
- Central vein hyperalimentation was administered to three patients with pancreatic ascites.
- One patient had ascites due to main pancreatic duct rupture; two had ascites associated with pseudocysts.
- Initial peripheral vein alimentation was unsuccessful in one patient.
Findings:
- Central vein hyperalimentation completely resolved pancreatic ascites in the patient with pancreatic duct rupture.
- In patients with pseudocyst-associated ascites, central vein hyperalimentation led to complete ascites relief in one and marked reduction in the other.
- Diagnostic imaging (endoscopic pancreatography, ultrasonography, CT scans) identified lesions requiring potential surgical intervention in all patients.
Implications:
- Central vein hyperalimentation is a viable and effective treatment for pancreatic ascites.
- Diagnostic imaging is crucial for assessing the severity and guiding treatment, even if ascites symptoms improve with medical therapy.
- Further investigation into central vein hyperalimentation for pancreatic ascites is warranted.