Abstract
For the 8 patients suffered from intractable ascites, we tried following two methods. One of them was extracorporeal P-V shunt, the other was treatment of ascites by PVA and CELA filter. 2 patients with benign ascites had diuretic effect with Na excretion by each method. The patient who had esophageal transection 5, 5 months before, however, died of hepatic failure following hematemesis at the 9th day after P-V shunt. When ascites were concentrated for 4 to 5 times thicker as a mark of protein level, the concentration of components higher molecules than bilirubin became near the serum level. These concentrated ascites were reinfused intravenously but made no harm except fever elevation. It was summerized that both methods were equally usefull for the benign ascites. But in the malignant ascites treatment of ascites by PVA and CELA filter is superior to extracorporeal P-V shunt because of removing malignant cells and improvement of subjective symptoms without severe complications.
