A critical re-appraisal of lymph-venous shunt in the management of massive ascites.
Lymph-venous shunt is one of most investigated procedures in the management of intractable ascites. However, there is considerable variation in the reported results. Personal experience with twenty-one operated cases reveals a dubious role for this intervention. Frequent anatomical variations and uncertain role and incidence of duct-end stenosis, in our opinion, reduces the efficacy of the procedure.
D000328:Adult; D000368:Aged; D001201:Ascites / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D013350:Subclavian Vein / Q000601:surgery*; D013897:Thoracic Duct / Q000601:surgery*