Malignant ascites. A comparison of peritoneovenous shunting and nonoperative management.
retrospective_cohort · Level III
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Abstract
Effective palliation of malignant ascites remains a difficult management problem. Eighty-five patients with malignant ascites were studied. Forty-two patients had peritoneovenous shunts (PVS) inserted (16 LeVeen, 17 single-valve Denver, 9 double-valve Denver). 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. Survival and quality of life were not significantly different in comparison with those of patients treated by abdominal paracentesis. PVS allowed many patients to be treated successfully outside the hospital and are indicated in carefully selected cases.
Medical subject headings
- Ascites
- Palliative Care
- Peritoneovenous Shunt