A Single-Center Experience: The Diagnostic Role of Peritoneoscopy in Patients with Exudative Ascites

Abaylı, Bahri; Gençdal, Genco

doi:10.1089/lap.2018.0274

Cited by 3 publications

(7 citation statements)

References 13 publications

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“…[15][16][17][18] The majority of patients in our series had peritoneal carcinomatosis as the most common cause of their ascites, which is in consistence with the previous literatures. 4,19 The majority of cases with malignant ascites were more than 50 years of age consistent with the fact that malignancy tends to be commoner in older age groups.…”

Section: Discussionmentioning

confidence: 71%

“…Ascites of unknown etiology is defined as ascites in which the cause cannot be determined after conventional laboratory tests and further radiologic testing. 4 It is this ascites of unknown etiology which poses a major diagnostic problem to the clinicians. The causes of ascites of unknown etiology varies considerably with the geographic locale and ethnic origin.…”

Section: Discussionmentioning

confidence: 99%

“…Peritoneum being in close proximity to the abdominal organs, tumors and infections may spread to the the peritoneum in early stages. 4 Previously, diagnosis of peritoneal diseases relied on surgical methods. In the present days by using advanced radiologic methods such as computerized tomography (CT) and magnetic resonance imaging, these lesions may be readily diagnosed, while the rest are identifiable with peritoneoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Peritoneoscopy is a less invasive method and has low risk compared to surgery; 4 however, undesired injuries may occur sometimes namely hemorrhage, perforation and air embolism. 13,14 Generally, it is a reliable method when performed by experienced specialists.…”

Section: Discussionmentioning

confidence: 99%

“…Due to close proximity intra-abdominal tumors and infections seed to peritoneum in early stages. 4 These intraperitoneal seedings can be detected by modern imaging techniques and by means of peritoneoscopy. 5,6 Peritoneoscopy has been successfully used for diagnostic purposes in exudative ascites with uncertain etiology.…”

Section: Original Articlementioning

confidence: 99%

See 4 more Smart Citations

Diagnostic Accuracy of Peritoneoscopy to Determine the Cause of Low Serum Ascites Albumin Gradient

Parajuli

Bhandari

Pathak

et al. 2019

Journal of Institute of Medicine

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Introduction: As cites, a common entity in practice of gastroenterology is path physiologically divided into high SAAG and low SAAG category, to rapidly classify, formulate a workup plan and expedite the diagnosis. The cause of low SAAG as cites is often due to local peritoneal cause e.g. peritoneal tuberculosis, peritoneal carcinomatosis etc, mandating the need of peritoneoscopy for definitive diagnosis. This study aims to present the peritoneoscopy and peritoneal biopsy result of patients with low SAAG as cites of uncertain etiology. Methods: Peritoneoscopy was prospectively performed in 12 patients with low SAAG as cites of unclear etiology. Patients with low SAAG as cites and willing to give consent for peritoneoscopy were enrolled in the study. Patients underwent laparoscopic peritoneoscopy under general anesthesia and appropriate biopsies were taken during the procedure for histopathological analysis. Results: Of the twelve patients with low SAAG enrolled in the study, 3 (25%) were male and 75% (9) were female. The success rate of the procedure was 100% and there was no procedure related complications. Specific findings were seen in all patients undergoing peritoneoscopy. Of the twelve patients, 9 (75%) patients has metastatic deposits in the peritoneum, 3 (25%) had benign etiology, 2/3rd (2) of whom had granulomatous deposits suggestive of tuberculosis and 1/3rd (1) had extensive dense adhesions and peritoneal fibrosis. Primary focus was revealed (ovary) in only 1 patient undergoing peritoneoscopy. Conclusion: Peritoneoscopy with simultaneous biopsy is safe, efficient and accurate diagnostic method due to its high diagnostic capacity and low complication rate in selected patients who have low SAAG as cites of uncertain etiology.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Original Articlementioning

confidence: 99%

See 3 more Smart Citations

Diagnostic Accuracy of Peritoneoscopy to Determine the Cause of Low Serum Ascites Albumin Gradient

Parajuli

Bhandari

Pathak

et al. 2019

Journal of Institute of Medicine

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Imaging for Peritoneal Tuberculosis

Rana

Gupta

2022

Tuberculosis of the Gastrointestinal System

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Utility of ascitic tumor markers and adenosine deaminase for differential diagnosis of tuberculous peritonitis and peritoneal carcinomatosis

Wei

Xiao

et al. 2022

BMC Gastroenterol

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Background Differential diagnosis between tuberculous peritonitis and peritoneal carcinomatosis remains challenging in clinical practice; thus, in-patients diagnosed with tuberculous peritonitis or peritoneal carcinomatosis were retrospectively enrolled, and diagnostic values of ascitic tumor markers and adenosine deaminase were determined. Methods Consecutive patients diagnosed with tuberculous peritonitis or peritoneal carcinomatosis were retrospectively enrolled. The pertinent data of 169 patients enrolled were collected. Results A panel of ascitic tumor makers (CEA, CA15-3, CA19-9) had high specificity (96.83%) and accuracy (94.67%) in the differentiation of peritoneal carcinomatosis from tuberculous peritonitis; and ascitic ADA was a good discriminator between these patients, with an accuracy of 91.72%. Combined use of ascitic tumor makers and ADA (ascitic ADA < 22.5 IU/L or ascitic CEA > 3.65 ng/mL or CA15-3 > 42.70 U/mL or CA19-9 > 25.10 U/mL) performed high sensitivity (99.06%) and accuracy (94.08%) for the diagnosis of peritoneal carcinomatosis. In addition, combined ascitic ADA and tumor marker (positive ascitic tumor makers and ADA < 22.50 IU/L) had 100% of the specificity in diagnosing peritoneal carcinomatosis. Conclusions Combined use of ascitic tumor markers and adenosine deaminase showed excellent efficiency in the differential diagnosis between tuberculous peritonitis and peritoneal carcinomatosis, thus these two simple and cost‐effective parameters should be determined when tuberculous peritonitis or peritoneal carcinomatosis was suspected in clinic practice.

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A Single-Center Experience: The Diagnostic Role of Peritoneoscopy in Patients with Exudative Ascites

Cited by 3 publications

References 13 publications

Diagnostic Accuracy of Peritoneoscopy to Determine the Cause of Low Serum Ascites Albumin Gradient

Diagnostic Accuracy of Peritoneoscopy to Determine the Cause of Low Serum Ascites Albumin Gradient

Imaging for Peritoneal Tuberculosis

Utility of ascitic tumor markers and adenosine deaminase for differential diagnosis of tuberculous peritonitis and peritoneal carcinomatosis

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