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Peritoneovenous shunting for malignant ascites

S K Wickremesekera1, R S Stubbs

  • 1Wakefield Clinic for Gastrointestinal Diseases, Wellington.

The New Zealand Medical Journal
|February 14, 1997
PubMed
Summary

Peritoneovenous shunting effectively manages malignant ascites symptoms in most patients, offering a well-tolerated, minor surgical option for symptom relief and improved quality of life.

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Area of Science:

  • Oncology
  • Surgical Procedures

Background:

  • Malignant ascites causes debilitating symptoms like abdominal distension and respiratory distress.
  • Effective symptom management for malignant ascites remains challenging.

Purpose of the Study:

  • To evaluate the effectiveness and complications of peritoneovenous shunting for malignant ascites.

Main Methods:

  • 19 patients with malignant ascites received 21 Denver peritoneovenous shunts.
  • Patients had previously failed diuretic therapy or paracentesis.
  • Shunt insertion was performed under general anesthesia.

Main Results:

  • The procedure was generally well-tolerated with a median hospital stay of 6 days.
  • 16 patients experienced excellent shunt function and symptom resolution.
  • Complications included two early shunt failures and four late occlusions, with three successfully revised.

Conclusions:

  • Peritoneovenous shunting is a safe and effective procedure for controlling malignant ascites.
  • It offers significant symptom relief for patients with malignant ascites, improving their quality of life.

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