Evaluation of peritoneovenous shunt in refractory cirrhotic ascites in Indian patients.
Ten patients with tense and refractory cirrhotic ascites underwent a modified peritoneovenous shunt procedure. Nine patients responded with complete resolution of ascites, mean weight gain of 5 (range 0-8) Kg, and rise in serum albumin level of 0.6 g/dL. Six patients improved from Child's class B to A. The longest survival period was 2.3 years. The main constraint in a developing country is the high cost of the shunt.
Lal
M
M
Department of Surgery, King George's Medical College, Lucknow.
Sahi
R P
RP
Sinha
K N
KN
Mahendra
N N
NN
D003365:Costs and Cost Analysis; D006801:Humans; D007194:India / Q000453:epidemiology; D008103:Liver Cirrhosis / Q000453:epidemiology / Q000601:surgery*; D010536:Peritoneovenous Shunt / Q000191:economics