LONG-TERM TREATMENT WITH FILTRATION-CONCENTRATION-IV REINFUSION OF ASCITES REGIMEN FOR INTRACTABLE ASCITES-A CASE REPORT-

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We encountered a case of intractable ascites that was treated by the filtration-concentration-IV reinfusion of ascites regimen 73 times in a period of 16 months. A 61-year-old man was seen at the hospital because of abdominal distention, poor appetite, and general edema. Medical and alimentary therapies were started, but no symptomatic remission was obtained. So the filtration-concentration-IV reinfusion of ascites regimen was conducted. The volume of ascites in this case an average of 7, 627ml. In a review of the previous reports, an increase in the volume of ascites fluid prolonged the time requiring the regimen. The number of times the regimen was conductad in this case, was the most frequent among all cases in Japan. In this case, the urine volume remarkably increased and Ccr improved with the regimen. It is throught that an increase in abdominal pressure due to massive collection of ascites and a resultant decrease in renal blood flow might contribute to the long-term collection of ascites. Futhermore, the filtration-concentration-IV reinfusion of ascites regimen can cause severe complications in patients with hyperbilirybinemia, but in other patients, it appears to be an effective treatment of intractable ascites.
日本臨床外科学会の論文