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Malignant ascites. A comparison of peritoneovenous shunting and nonoperative management

✍ Scribed by Ian R. Gough; Glenda A. Balderson

Book ID
102670026
Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
522 KB
Volume
71
Category
Article
ISSN
0008-543X

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✦ Synopsis

Background. Effective pallliation of malignant ascites remains a difficult management problem.

Methods. Eighty-five patients, with malignant ascites were studied. Forty-two patients had peritoneovenous shunts (PVS) inserted ( LeVeen, 17 single-valve Denver, 9 double-valve Denver).

Results. Shunt patency was not related to the type of shunt, type of cancer, or any characteristic of the ascitic fluid. Ascites was controlled in 64% of patients with shunts and serum albumin levels were preserved. Sur- vival and quality of life were not significantly different in comparison with those of patients treated by abdominal paracentesis.

Conclusions. PVS allowed many patients to be treated successfully outside the hospital and are indicated in carefully selected cases. Cancer 1993; 71:2377-82.

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