Peritoneo-Venous Shunting for Ascites

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Ascites following portacaval shunting. Relationship between wedged hepatic venous pressure and ascites.

When present, ascites usually disappears after portacaval shunt. In an oc· casional patient, however, ascites may appear after portacaval shunt even when not present before operation. This work reviews the mechanisms of ascites formation following patent portacaval shunt. Hepatic hemodynamic studies were performed in 24 patients with alcoholic liver disease. The results suggest that ascites is ...

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Peritoneovenous shunting in intractable ascites

Fourteen patients in whom peritoneovenous shunts were inserted for intractable ascites or malignancy were reviewed.Reduction in ascites was obtained in all patients by the time of discharge with significant diuresis and weight loss. Significant decrease in haemoglobin, packed cell volume, platelet count and prothrombin time also occurred. Coagulation studies were abnormal in 60 per cent of pati...

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Percutaneous implant of Denver peritoneo-venous shunt for treatment of refractory ascites: a single center retrospective study.

OBJECTIVE Refractory ascites is defined as a lack of response to high doses of diuretics or the development of diuretic related side effects, which compel the patient to discontinue the diuretic treatment. Current therapeutic strategies include repeated large-volume paracentesis and transjugular intrahepatic portosystemic shunts (TIPS). Peritoneovenous shunt (Denver shunt) should be considered ...

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Peritoneovenous shunting is an effective treatment for intractable ascites.

AIM AND METHODS A retrospective review was carried out of children undergoing peritoneovenous shunting for intractable ascites. RESULTS 11 children, aged 3 months to 12 years (median 31 months) underwent peritoneovenous shunting over the past 17 years. The duration of ascites ranged from one month to 2.5 years (median two months). The primary pathology consisted of previous surgery in eight (...

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Patient selection and survival after peritoneovenous shunting for nonmalignant ascites.

Patient selection and survival after peritoneovenous shunting for nonmalignant ascites was assessed in 30 patients undergoing 44 peritoneovenous shunting procedures over a 5-year period. Indications for peritoneovenous shunting included refractory ascites alone, refractory ascites complicated by hepatorenal syndrome, and nonrefractory but recurrent ascites. Fifty-six percent of shunting procedu...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1974

ISSN: 0003-4932

DOI: 10.1097/00000658-197410000-00023