Ascites is here defined as an exudate into the peritoneal space due to malignancy. It can cause symptoms such as pain, nausea, vomiting and dyspnoea, which are most easily resolved by removing the ascites. This can be done by mechanical means (e.g. paracentesis) or pharmacological means (e.g. diuretics). This flow diagram describes the decision steps in choosing a treatment appropriate to the patient.
Greenway B., Johnson PJ, Williams R.Control of malignant ascites with spironolactone. Br J Surg1982; 69: 441-42.
7.
Pockros PJ, Reynolds TBRapid diuresis in patients with ascites from chronic liver disease: the importance of peripheral oedema. Gastroenterology1986 ; 90: 1827-33.
8.
Rubenstein D. , McInnes I., Dudley F.Morbidity and mortality after peritoneovenous shunt surgery for refractory ascites. Gut1985; 26: 1070-73.
9.
Tarin D., Price JE, Kettlewell Mgw et al. Clinicopathological observations on metastases in man studied in patients with peritoneovenous shunts. Br Med J1984; 288: 749-51.