Dialytic ascitic ultrafiltration in refractory ascites
Hwang, E.R.; Sherman, R.A.; Mehta, S.; Walker, J.A.; Goodling, K.A.; Hariprasad, M.K.; Eisinger, R.P.
American Journal of Gastroenterology 77(9): 652-654
1982
ISSN/ISBN: 0002-9270 PMID: 7114029 Document Number: 196570
Nine patients with hepatic cirrhosis and refractory ascites underwent dialytic ascitic ultrafiltration with intraperitoneal reinfusion of the concentrated ascites. Ascites was removed via a peritoneal catheter and ultrafiltered using a hemodialyzer. The concentrate was continuously returned to the peritoneal space. A mean of 4.8 l of protein-free ascitic ultrafiltrate was removed without adverse effects over the course of the 3- to 5-h procedure. Preliminary evidence indicates a potential role for dialytic ascitic ultrafiltration in the management of refractory ascites.