Le Veen shunts in patients with intractable malignant ascites
作者:
Kenneth Kudsk,
Timothy C. Fabian,
John P. Minton,
期刊:
Journal of Surgical Oncology
(WILEY Available online 1980)
卷期:
Volume 13,
issue 1
页码: 61-66
ISSN:0022-4790
年代: 1980
DOI:10.1002/jso.2930130110
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: LeVeen shunt;malignant ascites
数据来源: WILEY
摘要:
AbstractLeVeen shunts were placed in ten patients bedridden with intractable malignant ascites in order to improve comfort and ambulation. The procedure was done with local anesthesia and mild sedation in all but one patient. Mild prolongations in clotting studies and hypokalemia were noted in several patients, but severe complications were few: a bleeding diathesis in a jaundiced patient, and venous disease in two. Six of the ten had excellent clinical response and were able to undergo therapy impossible in the presence of massive ascites. Two had moderate benefit but remained bedridden. Two patients gained no relief. Elevated bilirubin and inability to tolerate rapid increase in vascular volume and excrete the fluid load contraindicate the procedure, but the LeVeen shunt appears to be of significant clinical benefit in selected cases of malignant ascites.
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