Le Veen shunts in patients with intractable malignant ascites

Kenneth Kudsk, Timothy C. Fabian, John P. Minton

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

LeVeen shunts were placed in ten patients bedridden with intractable malignant ascites in order to improve comfort and ambulation. The procedure was done with local anesthesia and mild sedation in all but one patient. Mild prolongations in clotting studies and hypokalemia were noted in several patients, but severe complications were few: a bleeding diathesis in a jaundiced patient, and venous disease in two. Six of the ten had excellent clinical response and were able to undergo therapy impossible in the presence of massive ascites. Two had moderate benefit but remained bedridden. Two patients gained no relief. Elevated bilirubin and inability to tolerate rapid increase in vascular volume and excrete the fluid load contraindicate the procedure, but the LeVeen shunt appears to be of significant clinical benefit in selected cases of malignant ascites.

Original languageEnglish (US)
Pages (from-to)61-66
Number of pages6
JournalJournal of Surgical Oncology
Volume13
Issue number1
DOIs
StatePublished - 1980
Externally publishedYes

Fingerprint

Ascites
Peritoneovenous Shunt
Hypokalemia
Disease Susceptibility
Local Anesthesia
Jaundice
Bilirubin
Walking
Blood Vessels
Hemorrhage
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Medicine(all)
  • Oncology

Cite this

Le Veen shunts in patients with intractable malignant ascites. / Kudsk, Kenneth; Fabian, Timothy C.; Minton, John P.

In: Journal of Surgical Oncology, Vol. 13, No. 1, 1980, p. 61-66.

Research output: Contribution to journalArticle

Kudsk, Kenneth ; Fabian, Timothy C. ; Minton, John P. / Le Veen shunts in patients with intractable malignant ascites. In: Journal of Surgical Oncology. 1980 ; Vol. 13, No. 1. pp. 61-66.
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