[Comparative evaluation of the effects of a peritoneo-venous shunt and of concentration-reinfusion on the survival of cirrhotic subjects with "intractable" ascites].
Two homogeneous groups of patients with ascites intractable to a traditional medical therapy and to a first concentration and reinfusion (C/R) have been studied. The first group underwent others C/R, the latter one a peritoneo-venous shunt. The survival and the quality of life of the two groups of patients have been compared. Also a correlation between the basal clinical conditions and the mortality has been tested. In both groups the survival was similar, but the patients who underwent a peritoneo-venous shunt had a better quality of life. The deaths, but for a correlation with iperbilirubinemia, were related with the logic evolution of cirrhosis. The authors conclude with some critical considerations about the treatments evaluated.
D001201:Ascites / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000401:mortality; D010536:Peritoneovenous Shunt; D011379:Prognosis; D011788:Quality of Life; D014656:Vascular Surgical Procedures
Valutazione comparative degli effetti dello shunt peritoneo-venoso e della concentrazione-reinfusione sulla sopravvivenza dei cirrotici con ascite "intrattabile".