Abstract:
BACKGROUND:Refractory ascites is a serious complication for patients with decompensated liver cirrhosis. Saphenous-peritoneal shunting is a possible surgical treatment for its relief, but tends to lead to higher groin infections. The purpose of the present paper was to determine whether a modified procedure could resolve the problem and offer potential advantages over a peritoneo-venous shunt. METHODS:Sixteen patients with refractory ascites who received modified saphenous-peritoneal shunts were studied. Clinical data such as bodyweight, abdominal girth, indocyanine green 15-min retention rate (ICG-15), serum bilirubin concentrations, Child-Pugh Score, creatinine clearance (C(Cr)), daily urinary output, urine sodium (U(Na)) and operative complications were recorded before, and 3 months after, surgery. RESULTS:Three months after the operation, the urinary output, nutritional status and Child-Pugh scores had improved, but ICG-15 and total bilirubin output had not changed significantly. The C(Cr), U(Na) bodyweight and abdominal girth tended to decrease, but not significantly. No groin infections were noted following this procedure. CONCLUSIONS:This modified procedure not only improved the nutritional status of cirrhotic patients with refractory ascites but also improved their quality of life. Infections and obstructions decreased in the short term. However, long-term follow up is mandatory. This new technique requires more practice and experience.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Chen JH,Liu HD,Yu JC,Chen CJ,Shih ML,Liu YC,Hsieh CBdoi
10.1111/j.1445-2197.2005.03315.xkeywords:
subject
Has Abstractpub_date
2005-03-01 00:00:00pages
128-31issue
3eissn
1445-1433issn
1445-2197pii
ANS3315journal_volume
75pub_type
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