Prognostic factors for peritoneovenous shunt placement for refractory ascites in liver cirrhosis

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Dec 7, 2025; 31(45): 113848
Published online Dec 7, 2025. doi: 10.3748/wjg.v31.i45.113848

Table 1 Indications for peritoneovenous shunt placement

Indication for PVS placement
Ascites refractory to medical treatment
Multiple CART or multiple abdominal paracenteses performed
Contraindication
Presence of bacterial peritonitis
Positive findings of endotoxin and bacteria in ascitic fluid
White blood cell counts in ascitic fluid of 500/μL or higher
Patients requiring caution
Patients with concurrent heart failure or pulmonary edema
Patients with significantly impaired liver function (Child-Pugh score of 14 or higher)
Patients with severe renal dysfunction
PS 2 or higher

PVS: Peritoneovenous shunt; CART: Concentrated ascites reinfusion therapy; PS: Performance status.

Citation: Hamaguchi A, Ueda J, Taniai N, Yoshioka M, Matsushita A, Mizutani S, Kawano Y, Shimizu T, Kanda T, Murokawa T, Takata H, Furuki H, Aoki Y, Kawashima M, Irie T, Ono T, Haruna T, Yoshimori D, Yoshida H. Prognostic factors for peritoneovenous shunt placement for refractory ascites in liver cirrhosis. World J Gastroenterol 2025; 31(45): 113848
URL: https://www.wjgnet.com/1007-9327/full/v31/i45/113848.htm
DOI: https://dx.doi.org/10.3748/wjg.v31.i45.113848

Hamaguchi A, Ueda J, Taniai N, Yoshioka M, Matsushita A, Mizutani S, Kawano Y, Shimizu T, Kanda T, Murokawa T, Takata H, Furuki H, Aoki Y, Kawashima M, Irie T, Ono T, Haruna T, Yoshimori D, Yoshida H. Prognostic factors for peritoneovenous shunt placement for refractory ascites in liver cirrhosis. World J Gastroenterol 2025; 31(45): 113848 [PMID: 41378330 DOI: 10.3748/wjg.v31.i45.113848]

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