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Patient selection and survival after peritoneovenous shunting for nonmalignant ascites

Publication ,  Journal Article
Smith, RE; Nostrant, TT; Eckhauser, FE; Wilson, JP; Knol, JA; Strodel, WE
Published in: American Journal of Gastroenterology
1984

Patient selection and survival after peritoneovenous shunting for nonmalignant ascites was assessed in 30 patients undergoing 44 peritoneovenous shunting procedures over a 5-year period. Indications for peritoneovenous shunting included refractory ascites alone, refractory ascites complicated by hepatorenal syndrome, and nonrefractory but recurrent ascites. Fifty-six percent of shunting procedures were complicated by shunt malfunction and an additional 13% ended in shunt removal or ligation. Serious perioperative morbidity occurred in 47% of patients. Mean duration of shunt function was significantly less (p < 0.05) in the patients with hepatorenal syndrome (15 ± 5 days) compared to the patients with refractory ascites alone (45 ± 13 days), or the patients with nonrefractory ascites (64 ± 34 days). Mean survival was 265 ± 87 days. Survival of patients with nonrefractory ascites (767 ± 214 days) was significantly longer (p < 0.05) than that seen in patients with hepatorenal syndrome (28 ± 5 days) or in patients with refractory ascites alone (256 ± 148 days). Combined inhospital mortality was 30%. It was significantly greater (p < 0.05) in patients with hepatorenal syndrome (70%) than in patients with refractory ascites alone (14%) or in patients with nonrefractory ascites (0%). We conclude that patient selection significantly influences survival after peritoneovenous shunting and may account for the varying results reported by other groups.

Duke Scholars

Published In

American Journal of Gastroenterology

ISSN

0002-9270

Publication Date

1984

Volume

79

Issue

8

Start / End Page

659 / 662

Related Subject Headings

  • Gastroenterology & Hepatology
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Smith, R. E., Nostrant, T. T., Eckhauser, F. E., Wilson, J. P., Knol, J. A., & Strodel, W. E. (1984). Patient selection and survival after peritoneovenous shunting for nonmalignant ascites. American Journal of Gastroenterology, 79(8), 659–662.
Smith, R. E., T. T. Nostrant, F. E. Eckhauser, J. P. Wilson, J. A. Knol, and W. E. Strodel. “Patient selection and survival after peritoneovenous shunting for nonmalignant ascites.” American Journal of Gastroenterology 79, no. 8 (1984): 659–62.
Smith RE, Nostrant TT, Eckhauser FE, Wilson JP, Knol JA, Strodel WE. Patient selection and survival after peritoneovenous shunting for nonmalignant ascites. American Journal of Gastroenterology. 1984;79(8):659–62.
Smith, R. E., et al. “Patient selection and survival after peritoneovenous shunting for nonmalignant ascites.” American Journal of Gastroenterology, vol. 79, no. 8, 1984, pp. 659–62.
Smith RE, Nostrant TT, Eckhauser FE, Wilson JP, Knol JA, Strodel WE. Patient selection and survival after peritoneovenous shunting for nonmalignant ascites. American Journal of Gastroenterology. 1984;79(8):659–662.
Journal cover image

Published In

American Journal of Gastroenterology

ISSN

0002-9270

Publication Date

1984

Volume

79

Issue

8

Start / End Page

659 / 662

Related Subject Headings

  • Gastroenterology & Hepatology
  • 1103 Clinical Sciences