RT Journal Article
SR Electronic
T1 Treatment of resistant ascites by continuous ultrafiltration--reinfusion of ascitic fluid
JF Canadian Medical Association Journal
JO CMAJ
FD Canadian Medical Association
SP 1296
OP 1298
VO 117
IS 11
A1 Villeneuve, J. P.
A1 Thuot, C.
A1 Marleau, D.
A1 Joly, J. G.
A1 Huet, P. M.
A1 Viallet, A.
YR 1977
UL http://www.cmaj.ca/content/117/11/1296.abstract
AB 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.