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Palliative Medicine
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Management of ascites in advanced cancer - a flow diagram

Claud Regnard

St Oswald's Hospice, Newcastle upon Tyne

Kathryn Mannix

St Oswald's Hospice, Newcastle upon Tyne

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.

Key Words: diuretics • palliative treatment • peritoneal effusion • peritoneovenous shunt

Palliative Medicine, Vol. 4, No. 1, 45-47 (1990)
DOI: 10.1177/026921639000400109
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