[Cell-Free and Concentrated Ascites Reinfusion Therapy for Malignant Intractable Ascites from Colorectal Cancer].
2017
Malignant intractable
ascitesworsens not only patient symptoms but also their daily activities. It often leads to a patient discontinuing or postponing chemotherapy. In the present study, we introduced cell-free and concentrated
ascitesreinfusion therapy(
CART)for malignant intractable
ascitesfrom colorectal cancer. Six patients underwent 12
CARTtreatments using AHF-WMO as the
ascitesfilterand AHF-UP as the concentrator(Asahi Kasei Medical Co., Ltd.)from January 2014 to January 2017. The patients included 2 men and 4 women aged 67-89 years. Primary locations were 3 rectums, 1
transverse colon, 1
descending colon, and 1
cecum. Five patients had peritoneal dissemination, and 1 patient had liver metastasis. All the patients were administrated diuretics, but they were all refractory to the treatment. The median punctured
ascitesvolume was 3,850 mL, and the
ascitesreinfusion after
CARTwas 485 mL, the median concentration was 7.5. Only one patient had a fever.
Performance status(PS)improved significantly after the treatment, and appetite score also improved. One patient was fit to undergo chemotherapy after the treatment. In summary, we found that
CARTis a safe and acceptable procedure for malignant intractable
ascitesin colorectal cancer patients.
Keywords:
-
Correction
-
Source
-
Cite
-
Save
0
References
0
Citations
NaN
KQI