Ultrasonically guided insertion of a peritoneo-gastric shunt in patients with malignant ascites.
| Autor: | Lorentzen T; Department of Ultrasound, Herlev Hospital, University of Copenhagen, Denmark., Sengeløv L, Nolsøe CP, Khattar SC, Karstrup S, von der Maase H |
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| Jazyk: | angličtina |
| Zdroj: | Acta radiologica (Stockholm, Sweden : 1987) [Acta Radiol] 1995 Sep; Vol. 36 (5), pp. 481-4. |
| Abstrakt: | Purpose: A new method for internal drainage of malignant ascites is presented in 5 patients with symptomatic malignant ascites. Material and Methods: US-guided percutaneous gastrostomy and paracentesis were performed using the Seldinger technique. A 2.5-mm Cope-loop catheter was inserted in the fluid-filled stomach. In the lower abdomen the proximal part of a Denver peritoneo-venous shunt was introduced after dilation up to 4.8 mm. The pump chamber was sutured to the skin. The distal part of the Denver shunt was cut a few cm from the pump chamber and connected to the gastrostomy catheter. When pumping, ascites is shunted to the stomach lumen. Results: The insertion presented no complications, and all shunt systems initially functioned well. However, the shunts had to be removed within the first 2 weeks because of mechanical problems such as clotting, leakage, and peritoneal septum formation. No infections were reported. Conclusion: The peritoneo-gastric shunt may present a therapeutic alternative in selected patients, but the mechanical problems have first to be solved. |
| Databáze: | MEDLINE |
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