Peritoneovenous shunting for nongynecologic malignant ascites

Treatment of malignant ascites in patients with advanced cancer: Peritoneovenous shunt versus paracentesis

“…Since this time, Hyde shunts, 7 Leveen shunts 8 and Denver shunts 9 have been used for PVS. There are some reports of PVS placement for the treatment of malignant ascites, but evaluation of the procedure is not consistent 2,10–12 . Also, there is resistance to recommending PVS placement in patients with malignant ascites because of the reluctance of physicians to subject patients with malignant ascites to a palliative operation 13 .…”

“…In the present study, a subclinical DIC state after PVS placement was found in 47% of patients with only one (5%) patient developing clinical DIC that could be treated by conservative therapy. PVS is considered a good treatment option for patients suffering from malignant ascites who are expected to live 1 month or longer 11 . In cases where the BUN was 17 mg/dL or lower before PVS placement, a better postoperative clinical course was achieved when compared to cases in which the BUN was higher than 17.…”

“…PVS is considered a good treatment option for patients suffering from malignant ascites who are expected to live 1 month or longer. 11 In cases where the BUN was 17 mg/dL or lower before PVS placement, a better postoperative clinical course was achieved when compared to cases in which the BUN was higher than 17. These results suggest that PVS placement is likely to be a better treatment option than aggressive diuretics and repeated paracentesis for uncontrollable ascites.…”

Modified saphenous−peritoneal shunt in refractory ascites: new technique

“…Peritoneo‐venous shunting as a palliative therapy for patients with malignant ascites has been reported for years 20,21 . Two patients with diffuse type HCC in the present study experienced relief of their malignant ascites after the modified shunt.…”

Phase I/II Study of Transjugular Transhepatic Peritoneovenous Venous Shunt, a New Procedure to Manage Refractory Ascites in Cancer Patients: Japan Interventional Radiology in Oncology Study Group 0201

“…alignant ascites is defined as abnormal accumulation of intraperitoneal fluid as a consequence of advanced cancer [1][2][3]. It is often refractory to medical therapies and is associated with a decline in patients' quality of life [1][2][3]. Management of malignant ascites is still a major unsolved problem in the palliative care of patients with cancer.…”