Type of Surgery
Information
Last updated: 02/17/2009
BOOKS
Arroyo, V., P. Gines, J. Rodes. and R. W. Schrier, eds. Ascites and Renal Dysfunction in Liver Disease: Pathogenesis, Diagnosis, and Treatment. Oxford, UK: Blackwell Science Inc, 1999.
Moore, W. S. ed. Vascular...
Surgery: A Comprehensive Review. Philadelphia: W. B. Saunders Co., 2001.
PERIODICALS
Gines, P., and V. Arroyo. "Hepatorenal Syndrome."Journal of the American Society of Nephrology 10 (1999): 1833-9.
Hu, R. H. and P. H. Lee. "Salvaging Procedures for Dysfunctional Peritoneovenous Shunt."Hepatogastroenterology 48 (May-June 2001): 794-7.
Koike, T., S. Araki, H. Minakami, S. Ogawa, M. Sayama, H. Shibahara, and I. Sato. "Clinical Efficacy of Peritoneovenous Shunting for the Treatment of Severe Ovarian Hyperstimulation Syndrome."Human Reproduction 15 (2000): 113-17.
Orsi, F., R.F. Grasso, G. Bonomo, C. Monti, I. Marinucci and M. Bellomi. "Percutaneous Peritoneovenous Shunt Positioning: Technique and Preliminary Results."European Radiology 12 (May 2002): 1188-92.
Wagayama, H., T. Tanaka, M. Shimomura, K. Ogura, and K. Shiraki. "Pancreatic Cancer with Chylous Ascites Demonstrated by Lymphoscintigraphy: Successful Treatment with Peritoneovenous Shunting."Digestive Disturbance Science 10 (August 2002): 1836-8.
ORGANIZATIONS
American Gastroenterological Association. 4930 Del Ray Avenue, Bethesda, MD 20814. (301) 654-2055.
Society for Vascular Surgery. 900 Cummings Center, Beverly, MA 01915-1314. (978) 927-8330.
OTHER
"Ascites."Family Practice Notebook.
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Other Information
Definition
A peritoneovenous shunt refers to the surgical insertion of a shunting tube to achieve the continuous emptying of ascitic fluid into the venous system.
Purpose
Ascites is a serious medical disorder characterized by the pathological accumulation of fluid in the peritoneal cavity, the smooth membrane that lines the cavity of the abdomen and surrounds the organs. Ascites is usually related to acute and chronic liver disease (cirrhosis) and to a lesser degree, to malignant tumors arising in the ovary, colon, or breast. Ascites may also be associated with chronic kidney disease and congestive heart failure. The formation of ascitic fluid results from the interplay of three factors: abnormally high pressure within the liver or the veins draining into the liver (portal hypertension); abnormally low amounts of albumin in the blood (hypoalbuminemia); and changes in sodium and water excretion by the kidneys.
Other Information
Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.
From: eMedicine
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