Malignant ascites treatment guidelines

 

 

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Ascites that is refractory to treatment owing to the development of diuretic-induced complications that preclude the use of an effective diuretic dosage. Evaluation of patients with ascites. Clinical evaluation should include history of exposure to risk factors for cirrhosis and physical examination to look for The Prospective Malignant Ascites Alfapump® study is a single-arm, prospective study to evaluate the performance and safety of the Alfapump® system in the treatment of patients with malignant ascites. The Alfapump® system is a fully implantable programmable pump, able to move ascitic fluid from the Malignant pleural effusion (PE) and ascites, common clinical manifestations in advanced cancer patients, are associated with a poor prognosis. Here we report that malignant PE and ascites can induce a frequent epithelial-mesenchymal transition program and endow tumor cells with stem cell Therefore, the guiding principle for management of malignant ascites should be aimed at relieving symptoms, should not add to the patients' For most patients, paracentesis is the treatment of choice and relieves place in controlling rate of reaccumulation of ascites. symptoms in up to 90% patients. PubMed Journal articles for Ascites malignant were found in PRIME PubMed. Malignant Ascites (MA) poses significant symptom burden in patients with peritoneal malignancies at the end of life. Various treatment options are available and Indwelling Tunneled Catheters (ITC) have the advantage The management of malignant ascites is a significant challenge in gastrointestinal medical oncology. Current treatment strategies include diuretic therapy, paracentesis, peritoneal drains, and venous shunts. However, there are no established evidence-based guidelines, and there is a lack of Treatment of Ascites. - Furosemide: produces hypoK and. Treatment of Ascites. Therapeutic paracentesis: done in patients with. stable cirrhosis with or without edema - Single large Malignant chylous ascites (7%). Lymph leak due to invasion of lymph nodes with rupture of lymphatic vessels Refractory ascites Ascites that cannot be mobilised or the early recurrence of which (ie, after therapeutic paracentesis) cannot be satisfacto-rily prevented by medical treatment. This includes two different subgroups. Diuretic-resistant ascites Ascites that is refractory to dietary sodium restriction [Guideline] Runyon BA, American Association for the Study of Liver Diseases. Management of adult patients with ascites due to cirrhosis: update 2012. Seike M, Maetani I, Sakai Y. Treatment of malignant ascites in patients with advanced cancer: peritoneovenous shunt versus paracentesis. Malignant ascites places a significant burden on the patient through regular hospital visits and impact on their daily life. It also reduces their ability to The alfapump® offers patients suffering from malignant ascites with a completely new and much-needed treatment option for the management of Abstract: Treatment of recurrent malignant ascites in cancer patients is a challenge. Evidence based guidelines regarding the best treatment strategy are lacking. The aim of this prospective study was to investigate the safety and efcacy of a tunnelled peritoneal catheter (PleurX) Abstract Background Malignant ascites (MA) is a common manifesta-tion of advanced cancer. Currently, there are no evidence-based guidelines for the management of MA. We conducted a survey with physicians throughout Germany and Austria, to get an overview of current approaches and Abstract Background Malignant ascites (MA) is a common manifesta-tion of advanced cancer. Currently, there are no evidence-based guidelines for the management of MA. We conducted a survey with physicians throughout Germany and Austria, to get an overview of current approaches and

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