Effective control of chylous ascites: an alternative approach.

J Pediatr Surg

Department of Surgery, Children's Hospital of Michigan, Detroit 48201.

Published: January 1993

AI Article Synopsis

  • Successful management of chylous ascites was achieved through a specialized extracorporeal circuit that circulates ascitic fluid from the abdomen to the superior vena cava.
  • A hemofilter was used in this system to effectively extract water and electrolytes, while preserving important nutrients like protein and fat.
  • This innovative approach may also be applicable to treat other types of difficult-to-manage ascites.

Article Abstract

Complete control of chylous ascites was achieved by creating a circuit for extracorporeal recirculation of the ascites fluid from the peritoneal cavity to the superior vena cava. A hemofilter was incorporated into the circuit to remove water and electrolytes while returning protein, fat, and white cells. This avoided the associated loss of calories. This system could be applied to other forms of refractory ascites.

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http://dx.doi.org/10.1016/s0022-3468(05)80360-4DOI Listing

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