Prognosis assessment of patients with refractory ascites treated with a peritoneovenous shunt.
Hepatogastroenterology
; 60(127): 1607-10, 2013 Oct.
Article
en En
| MEDLINE
| ID: mdl-24634930
ABSTRACT
BACKGROUND/AIMS:
We investigated the postoperative outcome and risk factors for DIC and mortality in cases of implanted PVS.METHODOLOGY:
We reviewed the cases of 65 patients implanted with PVS from 2000 to 2010. Of these patients, 32 were diagnosed with peritonitis carcinomatosa, 21 had liver cirrhosis with hepatocellular carcinoma (HCC), and 12 had liver cirrhosis without HCC.RESULTS:
The postoperative morbidity rate was 18.8%, 76.2%, and 58.3% in cases of peritonitis carcinomatosa, liver cirrhosis with HCC, and liver cirrhosis without HCC, respectively. Early death (within 7 days of surgery) was 7.7% (5/65), and the cause of death in all cases was DIC. Underlying disease, low platelet count, prolongation of prothrombin time (PT), and hyperbilirubinemia were the risk factors for development of DIC, whereas underlying disease, prolongation of PT, hypoalbuminemia, and hyperbilirubinemia were risk factors for early death. Multivariate analysis showed that liver cirrhosis with HCC and prolonged PT were the risk factors for DIC.CONCLUSIONS:
Patients with refractory ascites due to liver cirrhosis with HCC and those with prolonged PT should not be considered for PVS.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ascitis
/
Derivación Peritoneovenosa
/
Coagulación Intravascular Diseminada
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Hepatogastroenterology
Año:
2013
Tipo del documento:
Article