[Therapy of resistant ascites using the peritoneojugular (Leveen shunt)]. 1990

S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
Klinika za anesteziju i intezivnu terapiju, Novi Sad.

Since 1984 the peritoneovenous shunt has been installed in 33 patients (10 females - 30.3%; 23 males - 69.7%) of the average age of 54 +/- 8, all in the phase of therapeutically resistant ascites (alcoholic cirrhosis 28 - 84.85%; 4 - 12.12% posthepatitic cirrhosis; and 1 - 3.03% hepatic amyloidosis). The control group consisted of 39 patients (11 females - 28.2% and 28 males - 71.8%) treated in an identical time span with the strict conduction of medicament-diet therapy. The aim of this study was to check the value of this method on our own clinical-patient material, and therefore establish the incidence of complications. By the use of a unique protocol we followed mortality, morbidity, body weight, belly circumference, diuresis, the ultrasonographic finding of the abdominal cavity and the complications which appeared. Out of the group operated on 19 (57%) of the patients died, and so did all the control group patients as well. The average life duration was 275 +/- 810 days in the group operated on, and 44 +/- 29 (p less than 0.005) in the control group. All those alive (14.33-42.42%) lived longer than six months. Six patients lived longer than one year (42.85%), 4 (28.47%) longer than two years, and one (7.14%) longer than three years. There is a statistically significant decrease in body weight, belly circumference, diuresis increase and the consequent ascites withdrawal. DIC occurred in 2 patients, shunt malposition in 2, saccular dilatation in 1, plastic peritonitis in 6, and ileus in 1 patient. Not one of the listed complications resulted by death.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010536 Peritoneovenous Shunt An operation for the continuous emptying of ascitic fluid into the venous system. Fluid removal is based on intraperitoneal and intrathoracic superior vena cava pressure differentials and is performed via a pressure-sensitive one-way valve connected to a tube traversing the subcutaneous tissue of the chest wall to the neck where it enters the internal jugular vein and terminates in the superior vena cava. It is used in the treatment of intractable ascites. Ascites Shunt, Peritoneovenous,LeVeen Shunt,Peritoneo-Venous Shunt,Ascites Shunts, Peritoneovenous,Peritoneo Venous Shunt,Peritoneo-Venous Shunts,Peritoneovenous Ascites Shunt,Peritoneovenous Ascites Shunts,Peritoneovenous Shunts,Shunt, LeVeen,Shunt, Peritoneo-Venous,Shunt, Peritoneovenous,Shunt, Peritoneovenous Ascites,Shunts, Peritoneo-Venous,Shunts, Peritoneovenous,Shunts, Peritoneovenous Ascites
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001201 Ascites Accumulation or retention of free fluid within the peritoneal cavity.

Related Publications

S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
September 1986, Surgery,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
March 1983, Helvetica chirurgica acta,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
January 1985, Zentralblatt fur Chirurgie,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
November 1981, Gastroenterologie clinique et biologique,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
January 1981, Die Medizinische Welt,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
November 1978, Deutsche medizinische Wochenschrift (1946),
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
February 1986, Minerva chirurgica,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
July 1983, Annals of surgery,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
April 1980, Annals of internal medicine,
S Gavrilović, and M Fabri, and D Dzambas, and J Majoros, and L Gvozdenović, and D Damjanov
May 1982, Nederlands tijdschrift voor geneeskunde,
Copied contents to your clipboard!