Current status of the peritoneovenous shunt for the management of intractable ascites
Renewed interest in the management of intractable ascites has led to the use of a peritoneovenous shunt for its control. Analysis of Canadian experience with this technique in the last 2 years has demonstrated that there are problems associated with it that have not been reported in the surgical lit...
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| Veröffentlicht in: | Canadian journal of surgery 1979-11, Vol.22 (6), p.557-559 |
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| container_title | Canadian journal of surgery |
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| creator | Fry, P D Hallgren, R Robertson, M E |
| description | Renewed interest in the management of intractable ascites has led to the use of a peritoneovenous shunt for its control. Analysis of Canadian experience with this technique in the last 2 years has demonstrated that there are problems associated with it that have not been reported in the surgical literature. A group of 60 patients who underwent peritoneovenous shunting at several Canadian centres was analysed. The operative mortality was 20% but was related to the underlying disease rather than to the operative procedure. Although the initial response to shunting was excellent in 53%, long-term patency (more than 3 months) was achieved in only 43%, but the procedure greatly improved the quality of life in those patients. The indications for shunting, the complications, results and cumulative patency rates are discussed. |
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Analysis of Canadian experience with this technique in the last 2 years has demonstrated that there are problems associated with it that have not been reported in the surgical literature. A group of 60 patients who underwent peritoneovenous shunting at several Canadian centres was analysed. The operative mortality was 20% but was related to the underlying disease rather than to the operative procedure. Although the initial response to shunting was excellent in 53%, long-term patency (more than 3 months) was achieved in only 43%, but the procedure greatly improved the quality of life in those patients. The indications for shunting, the complications, results and cumulative patency rates are discussed.</description><identifier>ISSN: 0008-428X</identifier><identifier>PMID: 497929</identifier><language>eng</language><publisher>Canada</publisher><subject>Adult ; Aged ; Ascites - etiology ; Ascites - mortality ; Ascites - surgery ; British Columbia ; Female ; Humans ; Liver Diseases - complications ; Male ; Middle Aged ; Peritoneal Cavity - surgery ; Postoperative Complications ; Quality of Life ; Veins - surgery</subject><ispartof>Canadian journal of surgery, 1979-11, Vol.22 (6), p.557-559</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/497929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fry, P D</creatorcontrib><creatorcontrib>Hallgren, R</creatorcontrib><creatorcontrib>Robertson, M E</creatorcontrib><title>Current status of the peritoneovenous shunt for the management of intractable ascites</title><title>Canadian journal of surgery</title><addtitle>Can J Surg</addtitle><description>Renewed interest in the management of intractable ascites has led to the use of a peritoneovenous shunt for its control. Analysis of Canadian experience with this technique in the last 2 years has demonstrated that there are problems associated with it that have not been reported in the surgical literature. A group of 60 patients who underwent peritoneovenous shunting at several Canadian centres was analysed. The operative mortality was 20% but was related to the underlying disease rather than to the operative procedure. Although the initial response to shunting was excellent in 53%, long-term patency (more than 3 months) was achieved in only 43%, but the procedure greatly improved the quality of life in those patients. 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| fulltext | fulltext |
| identifier | ISSN: 0008-428X |
| ispartof | Canadian journal of surgery, 1979-11, Vol.22 (6), p.557-559 |
| issn | 0008-428X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74732568 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Ascites - etiology Ascites - mortality Ascites - surgery British Columbia Female Humans Liver Diseases - complications Male Middle Aged Peritoneal Cavity - surgery Postoperative Complications Quality of Life Veins - surgery |
| title | Current status of the peritoneovenous shunt for the management of intractable ascites |
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