Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study

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

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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)


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








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Date Deposited:

04 Oct 2013 15:11

Last Modified:

04 May 2014 23:22

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https://boris.unibe.ch/id/eprint/31291 (FactScience: 195744)

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