Wednesday 20 June 2018

Therapeutic procedures for malignant ascites in a palliative care outpatient clinic

Journal of Palliative Medicine, 2018 21(6)  p836-841
Korpi, Säde; Salminen, Veera V.; Piili, Reetta P.; Paunu, Niina; Luukkaala, Tiina; Lehto, Juho T.

The optimal treatment of malignant ascites (MA) and feasibility of the management with free drainage remain unclear. The of this research was to study the success of drainage, complications, and survival after paracentesis or insertion of an indwelling tunneled catheter (TC) for the MA performed on a day-case basis. The authors suggest that free drainage of MA seems feasible in an outpatient clinic and that early insertion of TC should be considered to avoid repeated paracenteses. However, in patients with pancreatic cancer, paracentesis might be an accepted alternative due to their short life expectancy.