Ascites Index – an attempt to objectify the assessment of ascites
Introduction: Ascites is observed in cancer patients as well as in other non-neoplastic processes. In some patients, it may cause severe symptoms that can become directly life-threatening. The assessment of the degree of ascites seems useful in the determination of treatment effects as well as in...
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| Format: | Article |
| Language: | English |
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Sciendo
2018-06-01
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| Series: | Journal of Ultrasonography |
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| Online Access: | http://jultrason.pl/index.php/issues/volume-18-no-73/ascites-index-an-attempt-to-objectify-the-assessment-of-ascites?aid=623 |
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| author | Piotr Szkodziak Piotr Czuczwar Krzysztof Pyra Filip Szkodziak Tomasz Paszkowski Hugo Rio Tinto Sławomir Woźniak |
| author_facet | Piotr Szkodziak Piotr Czuczwar Krzysztof Pyra Filip Szkodziak Tomasz Paszkowski Hugo Rio Tinto Sławomir Woźniak |
| author_sort | Piotr Szkodziak |
| collection | DOAJ |
| description | Introduction: Ascites is observed in cancer patients as well as in other non-neoplastic
processes. In some patients, it may cause severe symptoms that can become directly
life-threatening. The assessment of the degree of ascites seems useful in the determination
of treatment effects as well as in the monitoring of fluid accumulation and early
planning of decompression procedures. Aim: Determination of the clinical usefulness
of a quantitative method of determining the degree of ascites, so-called Ascites Index.
Material and methods: The Ascites Index is an ultrasonographic way of assessing the
grade of ascites. The examination result is an index which is analogous to the amniotic
fluid index determined in pregnant patients. The Ascites Index was determined in
patients with ascites in the course of stage III–IV ovarian carcinoma (7 patients) and
ovarian hyperstimulation syndrome (12 patients). Results: The patients with ovarian
hyperstimulation syndrome required decompressive paracentesis at the median Ascites
Index above 290 mm (range: 216–386 mm). In the patients with ovarian carcinoma,
the median value of the Ascites Index at which paracentesis was required was 310 mm
(range: 273–389 mm). To avoid complications associated with excessive protein loss,
2000 mL of fluid was evacuated at a single occasion. Following the procedure, the
median value of the Ascites Index was 129 mm (range: 121–145 mm) in the patients
with ovarian hyperstimulation syndrome and 146 cm (119–220 mm) in cancer patients.
Conclusions: The proposed index is simple and rapid to determine. It makes evaluation
of the degree of ascites considerably easier. Moreover, it only minimally burdens
patients and enables assessment of the effect of decompression or treatment. It seems
that this method might be useful also in the assessment of ascites caused by other factors,
but this requires further clinical studies. |
| first_indexed | 2024-12-10T17:56:09Z |
| format | Article |
| id | doaj.art-aeb07e9e69e342f2a4497ad940df2e10 |
| institution | Directory Open Access Journal |
| issn | 2084-8404 2451-070X |
| language | English |
| last_indexed | 2024-12-10T17:56:09Z |
| publishDate | 2018-06-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-aeb07e9e69e342f2a4497ad940df2e102022-12-22T01:38:56ZengSciendoJournal of Ultrasonography2084-84042451-070X2018-06-01187314014710.15557/JoU.2018.0020Ascites Index – an attempt to objectify the assessment of ascitesPiotr Szkodziak0Piotr Czuczwar1Krzysztof Pyra2Filip Szkodziak3Tomasz Paszkowski4Hugo Rio Tinto5Sławomir Woźniak63rd Department of Gynecology, Medical University of Lublin, Lublin, Poland3rd Department of Gynecology, Medical University of Lublin, Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, PolandStudent Study Group at the 3rd Department of Gynecology, Medical University of Lublin, Lublin, Poland3rd Department of Gynecology, Medical University of Lublin, Lublin, PolandRadiology Department, Champalimaud Foundation, Lisbon, Portugal3rd Department of Gynecology, Medical University of Lublin, Lublin, PolandIntroduction: Ascites is observed in cancer patients as well as in other non-neoplastic processes. In some patients, it may cause severe symptoms that can become directly life-threatening. The assessment of the degree of ascites seems useful in the determination of treatment effects as well as in the monitoring of fluid accumulation and early planning of decompression procedures. Aim: Determination of the clinical usefulness of a quantitative method of determining the degree of ascites, so-called Ascites Index. Material and methods: The Ascites Index is an ultrasonographic way of assessing the grade of ascites. The examination result is an index which is analogous to the amniotic fluid index determined in pregnant patients. The Ascites Index was determined in patients with ascites in the course of stage III–IV ovarian carcinoma (7 patients) and ovarian hyperstimulation syndrome (12 patients). Results: The patients with ovarian hyperstimulation syndrome required decompressive paracentesis at the median Ascites Index above 290 mm (range: 216–386 mm). In the patients with ovarian carcinoma, the median value of the Ascites Index at which paracentesis was required was 310 mm (range: 273–389 mm). To avoid complications associated with excessive protein loss, 2000 mL of fluid was evacuated at a single occasion. Following the procedure, the median value of the Ascites Index was 129 mm (range: 121–145 mm) in the patients with ovarian hyperstimulation syndrome and 146 cm (119–220 mm) in cancer patients. Conclusions: The proposed index is simple and rapid to determine. It makes evaluation of the degree of ascites considerably easier. Moreover, it only minimally burdens patients and enables assessment of the effect of decompression or treatment. It seems that this method might be useful also in the assessment of ascites caused by other factors, but this requires further clinical studies.http://jultrason.pl/index.php/issues/volume-18-no-73/ascites-index-an-attempt-to-objectify-the-assessment-of-ascites?aid=623ascitesascites volumeAscites Indexovarian hyperstimulation syndromeovarian neoplasms |
| spellingShingle | Piotr Szkodziak Piotr Czuczwar Krzysztof Pyra Filip Szkodziak Tomasz Paszkowski Hugo Rio Tinto Sławomir Woźniak Ascites Index – an attempt to objectify the assessment of ascites Journal of Ultrasonography ascites ascites volume Ascites Index ovarian hyperstimulation syndrome ovarian neoplasms |
| title | Ascites Index – an attempt to objectify the assessment of ascites |
| title_full | Ascites Index – an attempt to objectify the assessment of ascites |
| title_fullStr | Ascites Index – an attempt to objectify the assessment of ascites |
| title_full_unstemmed | Ascites Index – an attempt to objectify the assessment of ascites |
| title_short | Ascites Index – an attempt to objectify the assessment of ascites |
| title_sort | ascites index an attempt to objectify the assessment of ascites |
| topic | ascites ascites volume Ascites Index ovarian hyperstimulation syndrome ovarian neoplasms |
| url | http://jultrason.pl/index.php/issues/volume-18-no-73/ascites-index-an-attempt-to-objectify-the-assessment-of-ascites?aid=623 |
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