[Peritoneovenous shunt in the treatment of therapy resistant ascites. Results of 7 years' experience].

Abstract

In recent years, implantation of a peritoneo-venous shunt has proven effective in the treatment of therapy-resistant ascites. From 1976 till 1983, a total of 63 shunt systems (Le Veen-, Agishi -, Denver system) were implanted in 55 patients with a mean age of 52.3 years. The most common cause for ascites was hepatic cirrhosis. The average functional period amounted to 21.7 months and the longest implantation time to nearly 7 years. The postoperative complication rate is considerable: 19 patients died in the postoperative course. The most dreaded complication is shunt infection and intravascular thrombopathy . In spite of the high complication rate, the establishment of a peritoneo-venous shunt is recommendable for combatting therapy-resistant ascites.

• Authors: H V Zühlke, R Häring, B Semsch
• Journal: Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen (Chirurg) Vol. 55 Issue 4 Pg. 253-9 (Apr 1984) ISSN: 0009-4722 [Print] Germany
• Vernacular Title: Der peritoneo-venöse Shunt zur Behandlung des therapieresistenten Ascites. Ein siebenjähriger Erfahrungsbericht.
• PMID: 6723465 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Ascites (drug therapy)
• Drug Resistance
• Female
• Humans
• Male
• Middle Aged
• Peritoneovenous Shunt (instrumentation, methods)
• Vascular Surgical Procedures (methods)