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End-stage renal failure supervened in two cirrhotic patients with ascites, necessitating maintenance hemodialysis therapy. One patient had a functioning LeVeen peritoneo-jugular shunt (Becton-Dickinson, Rutherford, NJ) in place at the time that hemodialysis was initiated. In the other patient, a LeVeen shunt was inserted 8 months after beginning hemodialysis, after extracorporeal ultrafiltration had failed to resolve his ascites. Both patients achieved control of their ascites and enjoyed relatively long survival. Our results suggest that, in patients with cirrhotic ascites who develop end-stage renal failure, successful long-term management can be obtained using a combination of peritoneo-venous shunting and maintenance hemodialysis.
V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
October 1974,
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V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
December 1985,
The Journal of the Arkansas Medical Society,
V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
January 1975,
Revista de gastroenterologia de Mexico,
V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
May 1996,
Nihon Kyobu Shikkan Gakkai zasshi,
V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
December 1980,
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V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
November 1978,
La Nouvelle presse medicale,
V C Gandhi, and
D J Leehey, and
M M Stanley, and
B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
September 1981,
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V C Gandhi, and
D J Leehey, and
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B A Nemchausky, and
J T Daugirdas, and
H B Greenlee, and
V R Jablokow, and
T S Ing
August 1982,
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V C Gandhi, and
D J Leehey, and
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B A Nemchausky, and
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H B Greenlee, and
V R Jablokow, and
T S Ing
July 1986,
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V C Gandhi, and
D J Leehey, and
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V R Jablokow, and
T S Ing
May 1984,
Chinese medical journal,
