Ultrasonically guided insertion of a peritoneo-gastric shunt in patients with malignant ascites.
Acta Radiol
; 36(5): 481-4, 1995 Sep.
Article
em En
| MEDLINE
| ID: mdl-7640091
ABSTRACT
PURPOSE:
A new method for internal drainage of malignant ascites is presented in 5 patients with symptomatic malignant ascites. MATERIAL ANDMETHODS:
US-guided percutaneous gastrostomy and paracentesis were performed using the Seldinger technique. A 2.5-mm Cope-loop catheter was inserted in the fluid-filled stomach. In the lower abdomen the proximal part of a Denver peritoneo-venous shunt was introduced after dilation up to 4.8 mm. The pump chamber was sutured to the skin. The distal part of the Denver shunt was cut a few cm from the pump chamber and connected to the gastrostomy catheter. When pumping, ascites is shunted to the stomach lumen.RESULTS:
The insertion presented no complications, and all shunt systems initially functioned well. However, the shunts had to be removed within the first 2 weeks because of mechanical problems such as clotting, leakage, and peritoneal septum formation. No infections were reported.CONCLUSION:
The peritoneo-gastric shunt may present a therapeutic alternative in selected patients, but the mechanical problems have first to be solved.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Peritônio
/
Ascite
/
Estômago
/
Drenagem
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Acta Radiol
Ano de publicação:
1995
Tipo de documento:
Article