Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters
Background: Medically intractable ascites causes substantial distress in patients with palliative disease. Tunneled peritoneal catheters have been established as a feasible treatment option allowing patient-controlled paracentesis in a homecare setting. However, while a range of complications is ass...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Therapeutic Advances in Gastroenterology |
| Online Access: | https://doi.org/10.1177/17562848241310183 |
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| author | Domenique Machnik Sarah Fischer Marcel Vetter Ricarda Lamprecht-Bailer Rachel Rouse-Merkel Daniel Klett Markus F. Neurath Deike Strobel Sebastian Zundler Sophie Haberkamp |
| author_facet | Domenique Machnik Sarah Fischer Marcel Vetter Ricarda Lamprecht-Bailer Rachel Rouse-Merkel Daniel Klett Markus F. Neurath Deike Strobel Sebastian Zundler Sophie Haberkamp |
| author_sort | Domenique Machnik |
| collection | DOAJ |
| description | Background: Medically intractable ascites causes substantial distress in patients with palliative disease. Tunneled peritoneal catheters have been established as a feasible treatment option allowing patient-controlled paracentesis in a homecare setting. However, while a range of complications is associated with these drainages, risk factors for complications have not been identified so far. Objectives: To explore potential risk factors associated with complications of tunneled peritoneal catheters. Design: Retrospective observational cohort study. Methods: Single-center cohort comprising 49 patients with palliative disease receiving 57 tunneled peritoneal catheters at a tertiary care hospital. Results: Catheter placement was successful in all patients and associated with low numbers of severe complications. Our data suggest a higher risk for severe late complications in patients with benign disease, with drainage replacement, and when performed by less experienced physicians. Conclusion: Tunneled peritoneal catheters are an effective and safe option to treat symptomatic ascites in patients with end-stage palliative disease. The indication should be carefully considered in patients with benign disease and after removal or dislocation of a previous catheter. |
| format | Article |
| id | doaj-art-e3c1ef0ca08b4ccea1b90cd8c3ae7630 |
| institution | Kabale University |
| issn | 1756-2848 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Gastroenterology |
| spelling | doaj-art-e3c1ef0ca08b4ccea1b90cd8c3ae76302025-01-11T08:03:24ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-28482025-01-011810.1177/17562848241310183Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal cathetersDomenique MachnikSarah FischerMarcel VetterRicarda Lamprecht-BailerRachel Rouse-MerkelDaniel KlettMarkus F. NeurathDeike StrobelSebastian ZundlerSophie HaberkampBackground: Medically intractable ascites causes substantial distress in patients with palliative disease. Tunneled peritoneal catheters have been established as a feasible treatment option allowing patient-controlled paracentesis in a homecare setting. However, while a range of complications is associated with these drainages, risk factors for complications have not been identified so far. Objectives: To explore potential risk factors associated with complications of tunneled peritoneal catheters. Design: Retrospective observational cohort study. Methods: Single-center cohort comprising 49 patients with palliative disease receiving 57 tunneled peritoneal catheters at a tertiary care hospital. Results: Catheter placement was successful in all patients and associated with low numbers of severe complications. Our data suggest a higher risk for severe late complications in patients with benign disease, with drainage replacement, and when performed by less experienced physicians. Conclusion: Tunneled peritoneal catheters are an effective and safe option to treat symptomatic ascites in patients with end-stage palliative disease. The indication should be carefully considered in patients with benign disease and after removal or dislocation of a previous catheter.https://doi.org/10.1177/17562848241310183 |
| spellingShingle | Domenique Machnik Sarah Fischer Marcel Vetter Ricarda Lamprecht-Bailer Rachel Rouse-Merkel Daniel Klett Markus F. Neurath Deike Strobel Sebastian Zundler Sophie Haberkamp Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters Therapeutic Advances in Gastroenterology |
| title | Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters |
| title_full | Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters |
| title_fullStr | Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters |
| title_full_unstemmed | Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters |
| title_short | Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters |
| title_sort | risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters |
| url | https://doi.org/10.1177/17562848241310183 |
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