[Peritoneovenous shunting in intractable XXXX of @entity82 . Results of a prospective study on improving prognostic factors].

@entity1 @entity82 @entity843 @entity12092 @entity702 @entity204
A peritoneovenous (LeVeen) shunt was inserted in 39 @entity1 with @entity82 and intractable @entity843 . Based on the results of previous experience, the following procedures were performed to improve outcome: 1) intraoperative drainage of most of the @entity843 ; 2) short-term antibiotic prophylaxis by @entity12092 ; 3) the use of a @entity702 venous catheter tip. There was no operative mortality. Operative morbidity was minimal. Mean postoperative in-hospital stay was 19 +/- 5 days. Two @entity1 had recurrence of @entity843 . This resulted from obstruction of the valve in one @entity1 and of occlusion of the venous catheter in the second @entity1 . One-year probability of shunt failure was 5.8 p. 100. Among the long-term complications, variceal bleeding was the most frequent as it occurred in 8 @entity1 and was responsible for @entity204 in 6. One-year probability of variceal bleeding was 18.6 p. 100. Overall one-year survival was 68 p. 100, 79 p. 100 in the group of 19 @entity1 with Pugh scores of 8 and less, 58 p. 100 in the group of 20 @entity1 with Pugh scores greater than 8. These results suggest that technically improved peritoneovenous shunting is a low operative risk surgical procedure with high efficiency in the treatment of intractable @entity843 in @entity82 .
