De Gottardi, Andrea; Thévenot, Thierry; Spahr, Laurent; Morard, Isabelle; Bresson-Hadni, Solange; Torres, Ferran; Giostra, Emiliano; Hadengue, Antoine (2009). Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study. Clinical gastroenterology and hepatology, 7(8), pp. 906-9. Philadelphia, Pa.: Elsevier 10.1016/j.cgh.2009.05.004
Full text not available from this repository.BACKGROUND ; AIMS: Complications and technical problems of paracentesis in cirrhotic patients are infrequent. However, the severity and the incidence of these events and their risk factors have not been assessed prospectively. METHODS: Cirrhotic patients (n = 171) undergoing paracentesis were included. Of the 515 paracenteses, 8.8% were diagnostic, and 91.2% were therapeutic. Technical features, demographic data, and adverse events during a period of 72 hours after the procedure were examined. RESULTS: Major complications occurred in 1.6% of procedures and included 5 bleedings and 3 infections, resulting in death in 2 cases. Major complications were associated with therapeutic but not diagnostic procedures and tended to be more prevalent in patients with low platelet count (<50 10(9)/L), Child-Pugh stage C, and in alcoholic cirrhosis patients. Technical problems occurred in 5.6%. The most frequent complication was a leak of ascites at the puncture site (5.0%), and in 89.5% there were no complications. CONCLUSIONS: The safety of paracentesis in cirrhotic patients might be decreased if risk factors, which depend on the characteristics of the patient and of the procedure itself, are present.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Hepatology |
UniBE Contributor: |
De Gottardi, Andrea |
ISSN: |
1542-3565 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 15:11 |
Last Modified: |
05 Dec 2022 14:21 |
Publisher DOI: |
10.1016/j.cgh.2009.05.004 |
PubMed ID: |
19447197 |
Web of Science ID: |
000269332000021 |
URI: |
https://boris.unibe.ch/id/eprint/31291 (FactScience: 195744) |
Actions (login required)
 |
Edit item |