| Theme |
Disease of Liver, Gallbladder, Spleen, and Pancreas in Dialysis Patients |
| Title |
Peritoneo-venous shunting for the treatment of intractable ascites in hemodialysis patients |
| Author |
Mitsuru Noguchi |
Department of Urology, Nagasaki University School of Medicine |
| Author |
Hiroshi Kanetake |
Department of Urology, Nagasaki University School of Medicine |
| [ Summary ] |
The treatment of intractable ascites in hemodialysis patients by using Denver peritoneal venous shunting is outlined. Intractable ascites may cause cachexia, malnutrition, and hypotension during hemodialysis. Thus, it is difficult to maintain blood pressure during hemodialysis and these patients often show an under-dialysis status. The operation of Denver peritoneal venous shunting is neither invasive nor difficult to perform under local anesthesia. This treatment is effective for intractable ascites in chronic hemodialysis patients in that it improves intravenous dehydration, overall condition and quality of life. However, specific care before and after the peritoneal venous shunting procedure is needed in order to prevent some complications in hemodialysis patients. |