Solid Cancer in a Palliative Situation With Ascites Clinical Trial
Official title:
Serum-Ascites Albumin Gradient Analysis in Cancer Patients in Palliative Care
Current recommendations do not recommend the concomitant administration of albumin after ascites puncture in patients with ascites neoplasia unlike cirrhotic ascites. The etiology of ascites in cancer patients is multifactorial, particularly by hepatic invasion that can lead to ascites loaded with albumin. Ascites punctures therefore lead to undernutrition, recurrent early ascites by decreasing the oncotic pressure by hypo albuminemia and a state of anasarca affecting the quality of life.
According to the recommendations, each ascites fluid must be sent for biochemical and
bacteriological analysis.
Demonstrate the high gradient proportion (percent only, no threshold of significance
required). The literature has already validated the importance of supplementing albumen with
cirrhotic ascites. Demonstrating that some cancer patients have high gradients, this will be
enough to make the practitioner think to supplement.
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