Prise en charge symptomatique de l’ascite maligne en phase palliative: place de la paracentèse et des diurétiques. Supportive care for malignant ascites in. Chez dix patients cirrhotiques porteurs d’une ascite sous tension, la pression voie endoscopique au moyen d’une fine aiguille, avant et après paracentèse. Mr G. presented for acute care 3 weeks ago with tense ascites, which was managed with a large volume paracentesis (LVP) of approximately 4 L. He was.
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The procedure is used to remove fluid from the peritoneal cavity, particularly if this cannot be achieved with medication. The most common indication is ascites that has developed in people with cirrhosis.
Ascites in patients with cirrhosis
ascitee The procedure is often performed in a doctor’s office or an outpatient clinic. In an expert’s hands it is usually very safe, although there is a small risk of infection, excessive bleeding or perforating a loop of bowel.
These last two risks can be minimized greatly with the use of ultrasound guidance.
The patient is requested to urinate before the procedure; alternately, a Foley catheter is used to empty the bladder. The patient is positioned in the bed with the head elevated at degrees to allow fluid to accumulate in lower abdomen.
The needle is removed, leaving the plastic sheath to allow drainage of the fluid. The fluid is drained by gravity, a syringe or by connection to a vacuum bottle.
Several litres of fluid may be drained during the procedure; however, if more than two litres are to be drained it will usually be done over the course of several treatments. The procedure generally is not painful and does not require sedation.
The patient is usually discharged within several hours following post-procedure paracdntese provided that blood pressure is otherwise normal and the patient experiences no dizziness.
The serum-ascites albumin gradient can help determine the cause of the ascites.
Ascites in patients with cirrhosis
The ascitic white blood cell count can help determine if the ascites is infected. A count of WBC per ml or higher is paracebtese diagnostic for spontaneous bacterial peritonitis. Mild hematologic abnormalities do not increase the risk of bleeding.
From Wikipedia, the free encyclopedia. Gale Encyclopedia of Medicine. Archived from the original on New Paraccentese Journal of Medicine. Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series. Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty.
Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann’s operation. Anal sphincterotomy Anorectal manometry Lateral internal sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization.
Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy.
Fecal fat test Fecal pH test Stool guaiac test. Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Psracentese splenorenal shunt procedure. Frey’s procedure Pancreas transplantation Pancreatectomy Pancreaticoduodenectomy Puestow procedure.
Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. Inguinal hernia surgery Asfite hernia repair. Retrieved from ” https: Digestive system procedures Abdominal surgical procedures Veterinary diagnosis. Articles with incomplete citations from June All articles with incomplete citations CS1 maint: Archived copy as title All articles with unsourced statements Articles with unsourced statements from August Views Read Edit View history.
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Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.