Guérison de l'ascite réfractaire dans l'hépatite alcoolique, après mise en place transitoire d'un shunt de LeVeen [Cure of recurrent ascites in alcoholic hepatitis following transient placement of a LeVeen shunt].

Details

Serval ID
serval:BIB_622E14481363
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Guérison de l'ascite réfractaire dans l'hépatite alcoolique, après mise en place transitoire d'un shunt de LeVeen [Cure of recurrent ascites in alcoholic hepatitis following transient placement of a LeVeen shunt].
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Yersin B., Genton A., Mosimann R., Magnenat P.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Publication state
Published
Issued date
05/1989
Volume
119
Number
21
Pages
768-769
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article
Publication Status: ppublish
Abstract
Three cases of severe alcoholic hepatitis associated with refractory ascites are reported. A LeVeen shunt was inserted which was effective and well tolerated. However, the shunt was removed in all 3 patients 8 months, 12 months and 9 years after insertion because of spontaneous migration (n = 2) or superior vena cava thrombosis (n = 1). At time of shunt removal all 3 patients had micronodular cirrhosis, but none had recurrent ascites during the 1-3 years of observation and despite the absence of diuretics. The eventual transient aspect of refractory ascites associated with alcoholic hepatitis is discussed, together with the potential beneficial and temporary role of LeVeen shunts in this condition.
Keywords
Adult, Ascites/etiology, Ascites/therapy, Chronic Disease, Female, Follow-Up Studies, Hepatitis, Alcoholic/complications, Humans, Liver Cirrhosis, Alcoholic/etiology, Male, Middle Aged, Peritoneovenous Shunt
Pubmed
Web of science
Create date
24/01/2008 17:31
Last modification date
20/08/2019 15:19
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