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Successful extracorporeal ultrafiltration method of ascites in case with intractable ascites

Nagake, Yoshio ; Makino, Hirofumi ; Wada, Jun ; Kumagai, Isao ; Awata, Toshie ; Haramoto, Toshinori ; Hirata, Kyoji ; Teraoka, Akira ; Ota, Zensuke

Journal of Japanese Society for Dialysis Therapy, 1993/07/28, Vol.26(7), pp.1345-1348

The Japanese Society for Dialysis Therapy

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  • Título:
    Successful extracorporeal ultrafiltration method of ascites in case with intractable ascites
  • Autor: Nagake, Yoshio ; Makino, Hirofumi ; Wada, Jun ; Kumagai, Isao ; Awata, Toshie ; Haramoto, Toshinori ; Hirata, Kyoji ; Teraoka, Akira ; Ota, Zensuke
  • Assuntos: chronic renal failure ; diabetic nephropathy ; extracorporeal ultrafiltration method of ascites (EUA) ; intractable ascites
  • É parte de: Journal of Japanese Society for Dialysis Therapy, 1993/07/28, Vol.26(7), pp.1345-1348
  • Descrição: A patient undergoing chronic dialysis, because of diabetic nephrpathy, with intractable ascites was successfuly treated with the extracorporeal ultrafiltration method of ascites (EUA). A 74-year-old woman who developed renal dysfunction due to diabetic nephropathy had massive ascites resistant to diuretics and albumin infusion, and was obliged to undergo simple paracentesis, Subsequently, she was transferred to our hospital, where hemodialysis therapy was initiated. Her ascites was not reduced by either hemodialysis or the extracorporeal ultrafiltration method (ECUM) because of hypotension during these procedures. We could not obtain sufficient clinical effects with reinfusian of cell-free and concentrated ascitic fluid. Therefore, we applied EUA with regular hemodialysis. As EUA remarkably decreased the amount of ascites, she was able to leave hospital. It was concluded that EUA will be of benefit in managing intractable ascites.
  • Editor: The Japanese Society for Dialysis Therapy
  • Idioma: Japonês

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