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Peritoneovenous shunting for intractable ascites

P Gullstrand, A Alwmark, B Börjesson

    Scandinavian Journal of Gastroenterology
    |November 1, 1982
    PubMed
    Summary

    Peritoneovenous shunting effectively manages intractable ascites in patients unresponsive to medical therapy. This surgical procedure provides significant symptom relief for ascites caused by liver cirrhosis and malignancy.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Hepatology

    Background:

    • Intractable ascites, often refractory to medical management, presents a significant clinical challenge.
    • Peritoneovenous shunting offers a potential therapeutic option for patients with refractory ascites.

    Purpose of the Study:

    • To evaluate the efficacy and safety of peritoneovenous shunting in patients with intractable ascites.
    • To assess outcomes in patients with ascites due to liver cirrhosis and malignancy.

    Main Methods:

    • A retrospective analysis of 32 patients undergoing peritoneovenous shunting (LeVeen or Denver shunt) between 1976 and 1981.
    • Procedures were predominantly performed under local anesthesia.

    Main Results:

    • Good palliation was achieved in 14 of 23 patients with cirrhotic ascites.
    • Seven of eight patients with malignant ascites experienced symptom relief.
    • Complications occurred in six patients, with one requiring shunt removal due to disseminated intravascular coagulopathy.

    Conclusions:

    • Peritoneovenous shunting is a simple surgical procedure offering relief for medically refractory ascites.
    • The technique demonstrates effectiveness in both cirrhotic and malignant ascites, with manageable complications.

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