Universität zu Köln

Aagaard, Niels Kristian, Malago, Massimo, De Gottardi, Andrea, Thomas, Michael, Sauter, Gerd, Engelmann, Cornelius, Aranovich, David, Cohen, Michal, Thevenot, Thierry, Ehmann, Thomas, Capel, Jeroen, Angeli, Paolo, Jalan, Rajiv and Stirnimann, Guido (2022). Consensus care recommendations for alfapump(R) in cirrhotic patients with refractory or recurrent ascites. BMC Gastroenterol., 22 (1). LONDON: BMC. ISSN 1471-230X

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Abstract

Background The alfapump(R) 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(R) implantation and pre- and post-implant patient management in both clinical trial and real-world settings by development of consensus recommendations. Methods The alfapump(R) working group consisting of hepatologists and surgeons with extensive experience in implantation of the alfapump(R) 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(R) and for those considering management strategies for patients with refractory ascites.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Aagaard, Niels Kristian UNSPECIFIED UNSPECIFIED UNSPECIFIED Malago, Massimo UNSPECIFIED UNSPECIFIED UNSPECIFIED De Gottardi, Andrea UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomas, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Sauter, Gerd UNSPECIFIED UNSPECIFIED UNSPECIFIED Engelmann, Cornelius UNSPECIFIED UNSPECIFIED UNSPECIFIED Aranovich, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Cohen, Michal UNSPECIFIED UNSPECIFIED UNSPECIFIED Thevenot, Thierry UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehmann, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Capel, Jeroen UNSPECIFIED UNSPECIFIED UNSPECIFIED Angeli, Paolo UNSPECIFIED UNSPECIFIED UNSPECIFIED Jalan, Rajiv UNSPECIFIED UNSPECIFIED UNSPECIFIED Stirnimann, Guido UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-694924
DOI:	10.1186/s12876-022-02173-5
Journal or Publication Title:	BMC Gastroenterol.
Volume:	22
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-230X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SYSTEM; MULTICENTER; PUMP; GUIDELINES; MANAGEMENT; SAFETY Multiple languages Gastroenterology & Hepatology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69492