Dialytic ascitic ultrafiltration in refractory ascites.
Nine patients with hepatic cirrhosis and refractory ascites underwent dialytic ascitic ultrafiltration with intraperitoneal reinfusion of the concentrated ascites. Ascites was removed via a peritoneal catheter and ultrafiltered using a hemodialyzer. The concentrate was continuously returned to the peritoneal space. A mean of 4.8 l of protein-free ascitic ultrafiltrate was removed without adverse effects over the course of the 3- to 5-h procedure. Preliminary evidence indicates a potential role for dialytic ascitic ultrafiltration in the management of refractory ascites.
D001201:Ascites / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000379:methods*; D014462:Ultrafiltration / Q000379:methods*