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Clinical Trial
. 1993 Apr 1;71(7):2377-82.
doi: 10.1002/1097-0142(19930401)71:7<2377::aid-cncr2820710732>3.0.co;2-h.

Malignant ascites. A comparison of peritoneovenous shunting and nonoperative management

I R Gough  1 , G A Balderson
Affiliations
Clinical Trial

Malignant ascites. A comparison of peritoneovenous shunting and nonoperative management

I R Gough et al. Cancer. .

Abstract

Background: Effective palliation of malignant ascites remains a difficult management problem.

Methods: Eighty-five patients with malignant ascites were studied. Forty-two patients had peritoneovenous shunts (PVS) inserted (16 LeVeen, 17 single-valve Denver, 9 double-valve Denver).

Results: Shunt patency was not related to the type of shunt, type of cancer, or any characteristic of the ascitic fluid. Ascites was controlled in 64% of patients with shunts and serum albumin levels were preserved. Survival and quality of life were not significantly different in comparison with those of patients treated by abdominal paracentesis.

Conclusions: PVS allowed many patients to be treated successfully outside the hospital and are indicated in carefully selected cases.

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