Renal Failure in Ascites Secondary to Hepatic, Renal, and Pancreatic Disease
- 1 May 1978
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 113 (5) , 581-585
- https://doi.org/10.1001/archsurg.1978.01370170043006
Abstract
• Renal failure occurs in ascites of diverse causes. Functional renal failure (the hepatorenal syndrome) in cirrhotic patients is usually progressive and rapidly fatal. Insertion of a LeVeen shunt significantly reduces weight, as well as abdominal girth, and improves preoperative urine flow (488 vs 2,318 ml/24 hr;P<.001) and natriuresis (12 ± 15 vs 45 ± 33 mEq/liter;P<.003). The shunt should not be inserted in patients with alcoholic hepatitis (bilirubin level > 8 mg/100 ml). Ascitic fluid should be discarded at the time of surgery in patients with impaired cardiac function, a bleeding diathesis, and when liver function is more severely deranged. (Arch Surg113:581-585, 1978)This publication has 1 reference indexed in Scilit:
- Clinical Report on Hydro-Peritoneum, based on an analysis of forty-six casesThe Lancet Healthy Longevity, 1863