Trausgastric peritoneal endoscopy in diagnosis of ascites with unknown origin

VernacularTitle:经胃腹腔内镜检查对原因不明腹水的诊断价值
Author: Huiming ZHU ; Ruiyue SHI ; Na WANG ; Xun HUANG ; Lisheng WANG ; Qin WANG ; Weixiang LUO ; Yinpeng LI
Publication Type:Journal Article
Keywords: Ascites; Natural orifice transluminal endoscopic surgery; Endoscopy; Diagnosis
From: Chinese Journal of Digestive Endoscopy 2010;27(1):5-8
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnostic value of transgastric peritoneal endoscopy in diagnosis of ascites with unknown origin.Methods Endoscopy was introduced into peritoneal cavity through gastric wall in 23 patients with exudative ascites which was able to be diagnosed by routine methods and biopsy was made through endoscopy to get pathological diagnosis.Results Definite diagnosis was made in 22 patient (95.7%),of which 12 (54.6%) were malignant tumors,8 (36.4%) were tuberculosis peritonitis,1 (4.5%) was spontaneous peritonitis associated with liver cirrhosis and 1 (4.5%) was eosinophilic enteritis.Conclusion Natural orifice transluminal endoscopy combined with biopsy is an effective and accurate procedure for diagnosis of ascites of unknown canses.