Aagaard, Niels Kristian;
Malago, Massimo;
De Gottardi, Andrea;
Thomas, Michael;
Sauter, Gerd;
Engelmann, Cornelius;
Aranovich, David;
... Stirnimann, Guido; + view all
(2022)
Consensus care recommendations for alfapump® in cirrhotic patients with refractory or recurrent ascites.
BMC Gastroenterol
, 22
(1)
, Article 111. 10.1186/s12876-022-02173-5.
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Abstract
BACKGROUND: The alfapump® is an implantable class III medical device that pumps ascitic fluid from the peritoneal space to the urinary bladder from where it is excreted. The pump reduces or abrogates the need for repeated paracentesis in patients with recurrent or refractory ascites. AIMS: To improve outcomes for alfapump® implantation and pre- and post-implant patient management in both clinical trial and real-world settings by development of consensus recommendations. METHODS: The alfapump® working group consisting of hepatologists and surgeons with extensive experience in implantation of the alfapump® and patient management met on two occasions: (1) to determine the key areas where recommendations should be made; and (2) to discuss the experiences of the working group within those areas and formulate draft statements. Developed statements were submitted to the group and consensus sought on relevance and wording through a collaborative iterative approach in order to consolidate the recommendations into consensus statements. Only recommendations agreed upon unanimously were included. RESULTS: Twenty-three consensus recommendations were developed in the areas of pre-implantation procedure, (three statements), surgical implant procedure (11 statements), immediate post-implant care (three statements) and long-term management (six statements). CONCLUSIONS: The consensus statements are a valuable reference resource for physicians managing patients with the alfapump® and for those considering management strategies for patients with refractory ascites.
| Type: | Article |
|---|---|
| Title: | Consensus care recommendations for alfapump® in cirrhotic patients with refractory or recurrent ascites |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12876-022-02173-5 |
| Publisher version: | https://doi.org/10.1186/s12876-022-02173-5 |
| Language: | English |
| Additional information: | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. |
| Keywords: | Alfapump, Ascites, Cirrhosis, Implantation, Long-term antibiotics, Medical device, Paracentesis, Patient management, Refractory ascites, TIPSS, Ascites, Humans, Liver Cirrhosis, Paracentesis, Urinary Bladder |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inst for Liver and Digestive Hlth UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10145559 |
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