peritoneovenöser Shunt
Postoperative
chylous ascites after total gastrectomy successfully treated using peritoneovenous (Denver) shunt: a case report. a The venous limb of the peritoneovenous shunt was placed with the tip of the catheter located in the lower end of the superior vena cava (arrowhead). b The peritoneal limb of the shunt was placed at the tip of the catheter within the pelvic region (arrowhead). The pump was placed in front of the right lower rib cage (arrow)
Postoperative
chylous ascites after total gastrectomy successfully treated using peritoneovenous (Denver) shunt: a case report. a Abdominal CT showed a large volume of ascites before peritoneovenous shunt. b Abdominal CT showed no ascites at a follow-up examination in the outpatient clinic. Arrow; the peritoneal limb of the PVS
Ascites •
Peritoneovenous shunt - Ganzer Fall bei Radiopaedia
A Denver shunt, or peritoneovenous shunt, is a device used to shunt ascites to the superior vena cava in patients with refractory ascites.
The proximal end is located in the peritoneal cavity and the distal end in the superior vena cava, with a subcutaneous course in the anterior chest wall. It has a one-way valve and a compressible chamber, which must be compressed several times a day to ensure proper flow.
Contraindications
Contraindications to the procedure include :
- end-stage renal failure requiring dialysis
- sepsis
- uncorrectable coagulopathy
- morbid obesity
- septation of the peritoneal cavity due to previous infection or surgery
Complications
Recognized complications include :
- shunt occlusion
- peritoneal infection
- ascitic leak
- bleeding
- pulmonary edema
- disseminated intravascular coagulation
- pneumothorax
- pneumoperitoneum
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Assoziationen und Differentialdiagnosen zu peritoneovenöser Shunt: