A simple method for ascites concentration and reinfusion.
| Title: | A simple method for ascites concentration and reinfusion. |
|---|---|
| Authors: | Borzio M; First Department of Medicine Fatebenefratelli Hospital, Milan, Italy.; Romagnoni M; Sorgato G; Bruno S; Borzio F; Tarasco V; Tetta C; Modignani RL |
| Source: | Digestive diseases and sciences [Dig Dis Sci] 1995 May; Vol. 40 (5), pp. 1054-9. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 7902782 Publication Model: Print Cited Medium: Print ISSN: 0163-2116 (Print) Linking ISSN: 01632116 NLM ISO Abbreviation: Dig Dis Sci Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2005- : New York, NY : Springer Science + Business Media; Original Publication: New York, Plenum Pub. Corp. |
| MeSH Terms: | Ascitic Fluid*; Ascites/*therapy ; Ultrafiltration/*methods; Albumins/administration & dosage ; Ascites/etiology ; Hemofiltration/instrumentation ; Liver Cirrhosis/complications ; Ultrafiltration/instrumentation ; Drainage ; Female ; Humans ; Infusions, Intravenous ; Infusions, Parenteral ; Male ; Middle Aged |
| Abstract: | A rapid and simple method for ascites concentration and reinfusion was utilized to treat 103 episodes of tense ascites in 57 patients (38 men and 19 women, mean age 63 +/- 11 years). After a bedside total paracentesis, 6.06 +/- 2.87 liters of ascites were separately ultrafiltrated using a mechanical device during a mean interval of 134 +/- 88 min, and 430 +/- 368 ml of concentrate containing 39 +/- 42 g of albumin were restituted at bedside either intravenously (44 cases) or intraperitoneally (59 cases). Ultrafiltration was successfully and easily completed in all cases. Ascites concentration and reinfusion either intravenously or intraperitoneally did not adversely modify hemodynamic or renal parameters except for a transient decrease in mean arterial pressure (P < 0.05). Transitory hyponatremia and renal failure occurred in two patients. A transient decrease in platelet count and serum fibrinogen levels (P < 0.05) and pyrexia (12%) were observed only in patients reinfused intravenously. In conclusion, this new method for ascites concentration and reinfusion was effective, safe, and, with respect to traditional methods, simpler, faster and more comfortable. Therefore it is proposed for the routine management of tense ascites. |
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| Substance Nomenclature: | 0 (Albumins) |
| Entry Date(s): | Date Created: 19950501 Date Completed: 19950601 Latest Revision: 20200304 |
| Update Code: | 20260130 |
| DOI: | 10.1007/BF02064198 |
| PMID: | 7729263 |
| Database: | MEDLINE |
Journal Article