Therapeutic advances in gastroenterology · 2025
Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Machnik Domenique, Fischer Sarah, Vetter Marcel, Lamprecht-Bailer Ricarda, Rouse-Merkel Rachel, Klett Daniel, Neurath Markus F, Strobel Deike, Zundler Sebastian, Haberkamp Sophie
Аннотация
BACKGROUND: Medically intractable ascites causes substantial distress in patients with palliative disease. Tunneled peritoneal catheters have been established as a feasible treatment option allowing patient-controlled paracentesis in a homecare setting. However, while a range of complications is associated with these drainages, risk factors for complications have not been identified so far.
OBJECTIVES: To explore potential risk factors associated with complications of tunneled peritoneal catheters.
DESIGN: Retrospective observational cohort study.
METHODS: Single-center cohort comprising 49 patients with palliative disease receiving 57 tunneled peritoneal catheters at a tertiary care hospital.
RESULTS: Catheter placement was successful in all patients and associated with low numbers of severe complications. Our data suggest a higher risk for severe late complications in patients with benign disease, with drainage replacement, and when performed by less experienced physicians.
CONCLUSION: Tunneled peritoneal catheters are an effective and safe option to treat symptomatic ascites in patients with end-stage palliative disease. The indication should be carefully considered in patients with benign disease and after removal or dislocation of a previous catheter.
OBJECTIVES: To explore potential risk factors associated with complications of tunneled peritoneal catheters.
DESIGN: Retrospective observational cohort study.
METHODS: Single-center cohort comprising 49 patients with palliative disease receiving 57 tunneled peritoneal catheters at a tertiary care hospital.
RESULTS: Catheter placement was successful in all patients and associated with low numbers of severe complications. Our data suggest a higher risk for severe late complications in patients with benign disease, with drainage replacement, and when performed by less experienced physicians.
CONCLUSION: Tunneled peritoneal catheters are an effective and safe option to treat symptomatic ascites in patients with end-stage palliative disease. The indication should be carefully considered in patients with benign disease and after removal or dislocation of a previous catheter.