Modified saphenous−peritoneal shunt in refractory ascites: new technique

Abstract

This modified procedure not only improved the nutritional status of cirrhotic patients with refractory ascites but also improved their quality of life. Infections and obstructions decreased in the short term. However, long-term follow up is mandatory. This new technique requires more practice and experience.

Current treatment options of refractory ascites in liver cirrhosis – A systematic review and meta-analysis

“…It had been reported that DIC and other complications such as volume overload may be prevented by evacuating ascites before the insertion of the shunt [85] . Additionally, these complications have not been reported in the most recent studies using saphenoperitoneal shunts [82][83][84] . These results should be interpreted, nevertheless, cautiously because most studies did not indicate the MELD or Child Pugh scores of their study population.…”

“…Fourteen studies [72][73][74][75][76][77][78][79][80][81][82][83][84][85] reported the outcome of patients with PVS. Baseline characteristics are found in Supp.…”

“…Table 7. The studies differed in terms of which shunt system they used: LeVeen shunts [74][75][76][77] , saphenoperitoneal shunts [82][83][84] , Denver shunts [78][79][80][81] , unclear [ 73 , 85 ] or more than one option [72] . MELD score was only reported in one study [81] and Child-Pugh scores in three studies [ 74 , 76 , 82 ].…”