Radiologically placed tunneled peritoneal catheter in palliation of malignant ascites.
Summary of "Radiologically placed tunneled peritoneal catheter in palliation of malignant ascites."
The purpose of this study was to evaluate retrospectively the safety and effectiveness of radiologically placed tunneled peritoneal catheter in palliation of malignant ascites. Between July 2005 and June 2009, 41 tunneled peritoneal catheters were placed under ultrasonographic and fluoroscopic guidance in 40 patients (mean age, 55 years; 22 women) who had symptomatic malignant ascites. No procedure related mortality was observed. Major complication occurred in one patient (2.5%) in the form of serious bacterial peritonitis that necessitated catheter removal. Minor complications such as minor bacterial peritonitis, catheter dislodgement, tunnel infection, and catheter blockage occurred in 11 patients (27.5%). The mean duration of survival after catheter placement was 11.8 weeks. All patients expired of their primary malignancies in the follow-up. Radiologically placed tunneled peritoneal catheter is safe and effective in palliation of symptomatic malignant ascites.
Affiliation
Hacettepe University, Faculty of Medicine, Department of Radiology, 06100 Ankara, Turkey.
Journal Details
This article was published in the following journal.
Name: European journal of radiology
ISSN: 1872-7727
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20692116
- DOI: http://dx.doi.org/10.1016/j.ejrad.2010.06.047
Medical and Biotech [MESH] Definitions
Ascites
Accumulation or retention of free fluid within the peritoneal cavity.
Chylous Ascites
Presence of milky lymph (CHYLE) in the PERITONEAL CAVITY, with or without infection.
Ascitic Fluid
The serous fluid of ASCITES, the accumulation of fluids in the PERITONEAL CAVITY.
Peritoneal Dialysis, Continuous Ambulatory
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
Floxuridine
An antineoplastic antimetabolite that is metabolized to fluorouracil when administered by rapid injection; when administered by slow, continuous, intra-arterial infusion, it is converted to floxuridine monophosphate. It has been used to treat hepatic metastases of gastrointestinal adenocarcinomas and for palliation in malignant neoplasms of the liver and gastrointestinal tract.
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