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Digestive Disease Interventions 2020; 04(03): 334-342
DOI: 10.1055/s-0040-1717086
Review Article

Malignant Ascites

Ahmed Elsakka
1   Department of Interventional Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
,
Hooman Yarmohammadi
1   Department of Interventional Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
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Abstract

Malignant ascites negatively impacts patient's quality of life and has significant impact on the health care resources. Majority of management guidelines are based on systemic reviews that have predominately relied on retrospective data. Therefore, there is lack of high-level evidence-based studies. In this review, the etiologies, pathophysiology, and various treatment methods including diuretic therapy, large volume paracentesis, indwelling catheter placement, peritoneovenous shunt, transjugular intrahepatic portosystemic shunt, and other available novel and/or experimental options are reviewed.

Keywords

malignant ascites - palliation - diuretic - paracentesis - peritoneovenous shunt - TIPS - intraperitoneal chemotherapy


Publication History

Received: 12 June 2020

Accepted: 30 July 2020

Article published online:
22 September 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

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