Ascites

In ascites puncture, accumulated fluid is removed from the abdominal cavity. Read more about the ascites puncture!

Ascites

At a ascites The doctor takes fluid that has accumulated in the abdominal cavity. Depending on the situation, the puncture should provide diagnostic information or serve as therapy. The ascites is also popularly known as "ascites". Read all about the ascitic puncture, how it works and what risks you should know as a patient.

Product Overview

ascites

  • What is an ascites puncture?

  • When do you make an ascites puncture?

  • What do you do with an ascites puncture?

  • What are the risks of an ascites puncture?

  • What should I watch for after an ascites puncture?

What is an ascites puncture?

During an ascites puncture, the physician uses a hollow needle or cannula to remove fluid that has accumulated in the abdominal cavity. Since a newly occurring or increasing ascites ("ascites") is usually the expression of a serious illness, the causes must be found as quickly as possible. In addition, the ascites can cause such discomfort that relief by draining (draining) of larger amounts of fluid is necessary.

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When do you make an ascites puncture?

An ascites can have many causes, such as peritonitis (peritonitis) or cancer. Other diseases that can lead to ascites include:

  • cirrhosis
  • acute liver damage
  • Closure of the liver vessels
  • Functional weakness of the right half of the heart (right heart failure) or of the whole heart muscle (global heart failure)
  • Pericarditis (pericarditis)
  • Inflammation of the pancreas (pancreatitis)
  • Albumin deficiency (hypoalbuminemia), for example in malnutrition
  • lymph

Not every ascites, however, needs to be punctured. Basically: A newly formed fluid accumulation within the peritoneum should always be punctured in order to find out the cause by analysis of the extracted fluid (diagnostic puncture).

Even in patients with known ascites, whose condition is deteriorating or whose fluid accumulation increases, a puncture should be performed.

What do you do with an ascites puncture?

Ascites puncture is usually performed on the patient lying down. So that the doctor finds the optimal and safest puncture site and does not injure any organs or vessels, he uses an ultrasound device to find her and marks her on the patient's body. To reduce the risk of infection, he first disinfects the puncture site. He then injects a topical anesthetic into the tissue so that the patient feels the puncture less painful. The further course depends on whether the ascites puncture is performed for diagnostic or therapeutic purposes.

Ascites puncture: diagnostic procedure

To assess the accumulated fluid the doctor requires only small amounts. With a hollow needle, which he pricks carefully through the abdominal wall, he can draw a sample of the accumulated in the abdominal cavity liquid in a syringe. This sample is then tested in the laboratory for color, cell count, protein content, bacteria and many other parameters.

Ascites puncture: performance for therapeutic purposes

Therapeutic ascites puncture is also called paracentesis in medicine. The doctor first determines the most suitable location for the puncture by means of an ultrasound image and then introduces the hollow needle through the abdominal wall. This is connected via a small plastic tube with a thin tube. Over this now the liquid can drain off well. If the ascites is sufficiently relieved, the doctor removes the hollow needle and covers the puncture site sterile.

What are the risks of an ascites puncture?

A purely diagnostic ascites aspiration is a very safe procedure and involves little risk for the patient. By contrast, ascites drainage for therapeutic purposes has a higher complication rate. Possible dangers that the patient should know are:

  • Persistent leakage of fluid through the puncture channel
  • Infections of the peritoneum (peritonitis)
  • Bauchdeckenabszess
  • bleeding
  • Injury of surrounding structures and organs

What should I watch for after an ascites puncture?

If you have been given tranquillizer for ascites, your ability to drive is significantly reduced. Unless you stay in the hospital anyway, you should arrange for someone to pick you up in advance.

In case you have a therapeutic ascites After taking several liters of fluid, you will receive an infusion as a protein / fluid replacement.

Ascites

Ascites

FAQ - 💬

❓ What are the main causes of ascites?

👉 Ascites results from high pressure in the blood vessels of the liver (portal hypertension) and low levels of a protein called albumin. Diseases that can cause severe liver damage can lead to ascites. These include: Chronic hepatitis C or B infection.

❓ What are the first signs of ascites?

👉 Ascites is a buildup of fluid in your abdomen. It often occurs as a result of cirrhosis, a liver disease....Other symptoms include:

  • Swelling in your ankles.
  • Shortness of breath.
  • Digestive issues, such as bloating, abdominal pain, loss of appetite, indigestion and constipation.
  • Back pain.
  • Difficulty sitting.
  • Fatigue.

❓ What stage of liver disease is ascites?

👉 Ascites is the main complication of cirrhosis. It is a landmark of the progression into the decompensated phase of cirrhosis and is associated with a poor prognosis and quality of life; mortality is estimated to be 50% in 2 years.

❓ What does ascites feel like?

👉 What does ascites feel like? Ascites can put pressure within the abdomen, causing it to feel very large and tight. As the abdomen grows larger, the increased pressure on nearby organs may cause abdominal discomfort, lack of appetite, and shortness of breath.

👉 Ascites is the abnormal build-up of fluid in the abdomen. Technically, it is more than 25 ml of fluid in the peritoneal cavity, although volumes greater than one liter may occur.

❓ What are the risk factors for ascites?

👉 As a result, fluid may start to leak out of the portal vein and into the abdomen, leading to ascites. Other risk factors of ascites include liver cancer, heart failure, pancreatitis, hypoalbuminemia, and peritoneal tuberculosis .

❓ What is the survival rate of ascites?

👉 Ascites usually occurs when the liver stops working properly. Fluid fills the space between the lining of the abdomen and the organs. People with cirrhotic ascites have a two-year survival rate of approximately 50 percent. If you experience ascites symptoms, talk to your doctor as soon as possible.

❓ What is the treatment for ascites?

👉 Treatment for ascites includes curing or managing the disease causing ascites, limit your fluid intake, avoid alcohol, limit the amount salt in your diet, and other lifestyle changes.


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