Dec 3, 1977

Treatment of resistant ascites by continuous ultrafiltration--reinfusion of ascitic fluid

Canadian Medical Association Journal
J P VilleneuveA Viallet

Abstract

Eight patients with diuretic-resistant ascites due to cirrhosis were treated by reinfusion of concentrated ascitic fluid. In 11 procedures, with a mean duration of 21.9 hours, weight loss averaged 14.8 kg. Complications during reinfusion included septicemia in 1 procedure, left-sided heart failure in 5, pyrexia in 7 and coagulation abnormalities in 10. Ascites recurred within 2 months after reinfusion in all but one patient. Although this technique is an efficient and inexpensive method of treatment of ascites, it does not appear indicated in patients with cirrhosis and resistant ascites in view of the possibly serious complications associated with reinfusion and the poor long-term results.

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Mentioned in this Paper

Septicemia
Cirrhosis
Fibrosis, Liver
Blood Coagulation Disorders
Diuretic Effect
Liver Cirrhosis
Ultrafiltration
Drug Resistance
Left-Sided Heart Failure
Fibrosis

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