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Stoma for removing Ascites fluid

Ostomy | Last Active: Dec 13, 2022 | Replies (8)

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@rosemarya

@jrcarls, I want to welcome you to Mayo Connect.
I have had my share of paracentesis procedures before my transplant.
At that time, I had end stage liver failure due to Primary Sclerosing Cholangitis (PSC) and I was on dialysis for acute kidney failure. Between February and mid April of 2009, I needed one about every 8-10 days. These were performed at the Mayo Clinic in Rochester where I was a patient and staying at the Gift of Life Transplant House which was a few blocks from the Mayo Clinic. It was convenient for us to take the transport shuttle to the Clinic, and for my husband to push me in a wheelchair to the treatment area. I did not have leaking at Mayo,. However, on one occasion, after I had been transferred to Mayo from an out-of-state ICU unit, I had a stick-on bag attached to catch the drainage. That one did leak and the nurses changed it several times. I was too sick to remember what they used or for how long. But I do remember wondering how I got wet!
- For anyone unfamiliar with this topic:
Ascites is the buildup of fluid in your belly, often due to severe liver disease. The extra fluid makes your belly swell. And a Paracentesis is a medical procedure that drains fluid from a person’s abdominal cavity.

Jrcarls, I have never heard of a stoma being used for ascites treatment. My guess as a patient, is that a paracentesis is a simple procedure that requires a needle, while a stoma would be a more complicated procedure.
@digibson, @marinab, @cybele65, gaylea1, I am inviting you to this discussion. What would you like to add from your ascites experience?

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Replies to "@jrcarls, I want to welcome you to Mayo Connect. I have had my share of paracentesis..."

Sorry it’s taken so long to reply. On Friday, December 2, my wife had a followup appointment with her nephrologist. After reviewing her labs he told us she needed to be immediately admitted to the hospital for a complete work up, as she was in complete kidney failure due to her cirrhosis of the liver. After spending four days in the hospital the kidney and liver team told us she needed a liver transplant to survive. As my wife is 76 years of age, and very sick and sick of it all, she at this time has rejected any idea of a liver transplant.
My wife just got out of the hospital last Tuesday, December 6. She was dismissed is presently under
Hospice care. We covet your prayers.