Consensus care recommendations for alfapump ® in cirrhotic patients with refractory or recurrent ascites
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. To improve outcomes for alfa...
Saved in:
Published in | BMC gastroenterology Vol. 22; no. 1; p. 111 |
---|---|
Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
BioMed Central Ltd
08.03.2022
BioMed Central BMC |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | 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.
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.
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.
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).
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. |
---|---|
Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1471-230X 1471-230X |
DOI: | 10.1186/s12876-022-02173-5 |