Draining excess water

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New Member

Date Joined Mar 2007
Total Posts : 5
   Posted 3/23/2007 2:10 AM (GMT -7)   
Hi everyone, I am looking for advice. The doctor has told my father he needs his ascities drained on monday. He is not looking forward to it (understandably).
What I would like to know is how frequently this will have to happen?
He will also have bands placed onto his heptaic portal vein - has anyone else had this? Do you know what it involves?

Regular Member

Date Joined Mar 2007
Total Posts : 34
   Posted 3/23/2007 11:46 AM (GMT -7)   
cool  Hi Laura
I am Doug from Colorado. I have chronic HCV genotype 1a with End Stage Liver Disease. I have been evaluated & accepted in the liver transplant program here. I had the combo interferon/ribavirin therapy for 48 weeks last year. For awhile, the HCV was not detectable, but it came back within 90 days of completing treatment.
I believe the procedure you refer is paracentesis. I have ascsites but so far it has been controlled by Aldactone & Lasix (diuretic pills). I haven't had to have it drained. I really can't answer the question about how often this is done; on a schedule or as needed.
I have esophageal varices which have been banded because they either were, or were about to start, bleeding into my stomach. This is a life threatening situation. So I go every 90 days for an upper endoscopy (EGD) to try & prevent it from happening again. When I am checked, they do it with the scope which also takes pictures & bands the varices, if necessary. The cause of this is portal hypertension. But I have not heard of banding of the portal vein itself. By the way, the portal vein carries blood from the small intestine to the liver. Portal hypertension slows this blood flow but the blood keeps coming anyway, so it basically finds another way to keep flowing, & creates it's own paths which are called varices (similar in a way to the varicose legs visible on a person's legs). Are you sure the doctor is banding the vein itself, or is it banding of the varices? The bands are basically that - small rubber bands that the doctor places over the varices with the scope machine, cutting off the blood flowing where it shouldn't be flowing. It is a very quick procedure. They are usually finished with me in 15 minutes or so. 
Sorry if I explained too much. I don't know how familiar you are with all this stuff.

Pink Grandma
Veteran Member

Date Joined Nov 2006
Total Posts : 2445
   Posted 3/23/2007 6:37 PM (GMT -7)   
Hello Laura, There are members here who have had or have loved ones who's had the ascites. And I believe they call it shunting for the portal vein though I could be wrong. Others can give you the answers that your are seeking. I am sure someone will pop up soon. My husband hasn't had either so I am not sure about the answers. My husband has had the varices in his esophagus though. They banded him a couple of times but the last time he didn't need the banding.

Welcome Doug, Glad to have you aboard. Great news that you made the transplant list.

Both of you keep coming back as this is a wonderful forum.:-)

Pink Grandma

Regular Member

Date Joined Mar 2007
Total Posts : 33
   Posted 3/23/2007 8:53 PM (GMT -7)   
Hi Laura, My husband has had paracentesis a couple of times. This is a very simple procedure. The Dr. puts a needle in the side of his abdomen (w. local anesthia) and a tube is attached to the end of it. They then drain the liquid out into liter bottles. He might feel a little discomfort while doing this, but not extreme. Lee said it is toleralbe. They liquid looks alot like beer. My husband has had 10 liter bottles full at one draining. He had to go back a couple of times, until they got the ascities under control. What happens now is that my husbands legs and feet swell, which they can't drain. After they procedure they give Albumin thru IV, this will keep the fluids from returning right away. Tell him to wear light fitting clothing.
I do not know about the other procedure. God bless.

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