الفهرس 
PA’l’HOPHYSIOLOGY OF ASCITESOnly 14 pages are availabe for public view
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Abstract
ascitic fluid in resistant cirrhtic by Rhodiascit apparatus.
Ascites due to liver cirrhosis can be a great problem to the
patient for its huge size, the resulting difficulty of breathing,
and the inability of those patients to live a normal life.
It can be treated either medically by salt and water restriction,
diuretics, and injection of concentrated albumin, or surgiccally
by paracentesis or some operations designed to get rid of the
ascitic fluid a long either the lymphatic or the blood chanels.
Some authors referred to the value of the thodiascit ’apparatus
in the management of ascites due to liver cirrhosis resulting from
various aetiological factor~.
By this apparatus ultafiltration of the ascitic fluid can be
done, into two portions, one containing proteins in a concentrated
from, and this is reinijected intravenously to the same patient at
the same time of ultrafiltration, and the other containing mainly
water and electrolytes is discarded.
In this study we tried to assess the value of the Rhodiascit
apparatus in management of ascites resulting from bilharzial liver
cirrhosis.
We started the clinical study on seventeen patients, with ascites
resulting from bilharzial liver cirrhosis, who had poor response
to diuretic treatment.
Those patients were examined clinically and we studied their
blood picture and their liver function tests, and then we tried to
treat them with the Rhodiascit apparatus. We studied the proteins and electrolyte concentrations of the
ascitic, the reinjected, and the reject fluids, and recorded the
volume of Urine passed during the procedure and weight loss after.
Although the theoritical idea of this apparatus is to inject
the patient with his own concentrated proteins, so as to avoid any
reaction, yet the clinical results were unsatisfactory as most of
our patients developed fever as a reaction to the reinjected proteins.
Again the clinical follow up of those patients revealed that
recurrence rate of the ascites was very rapid after reinfusion.
According to our results and the results of other authors
who used this apparatus before, we can state that the Rhodiascit
apparatus can be of some value as a palliative method for management
of ascites, but not as a defenitive treatment.