Surgical and Pathologic Complications Associated with Peritoneovenous Shunts in Management of Malignant Ascites

Pulmonary tumor embolization after peritoneovenous shunting for malignant ascites

“…However, the fluid usually reaccumulates rapidly, and aspirations provide only temporary relief. The use of peritoneovenous shunting for malignant ascites has been widely described.4,6,8-' 1~' [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Malignant ascites has also been treated by intraperitoneal instillation of radioactive colloids A u '~~ P32) or chemotherapeutic agents (tetracycline, bleomycin, Adriamycin [Adria Laboratories, Columbus, OH], Nitrogen mustard, or cisplatin). Although it has been reported that these modalities yield response rates of 35% to 4070,~ they have most often been used as alternatives to peritoneovenous shunting.…”