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Tunneled Peritoneal Catheter for Refractory Ascites in Cirrhosis: A Randomized Case-Series.


ABSTRACT:

Background and objectives

Refractory ascites markedly worsens prognosis in cirrhosis. Large volume paracentesis (LVP) is standard treatment, but complications are common. In a randomized controlled case-series, we assessed a permanent tunneled peritoneal catheter versus LVP in patients with cirrhosis and ascites.

Materials and methods

Random allocation was computer-generated, and concealment used opaque envelopes. Patients were included from January 2017 to December 2018. Inclusion criteria were cirrhosis and recurrent ascites and expected survival of more than 3 months.

Results

Thirteen patients were enrolled (PleurX =6 versus LVP = 7). Seven were female, ranging in age from 51 to 80 years. No procedure-related complications occurred. Two patients died due to varicea

SUBMITTER: Kimer N 

PROVIDER: S-EPMC7692861 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature