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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 7, 2025; 31(45): 113848
Published online Dec 7, 2025. doi: 10.3748/wjg.v31.i45.113848
Published online Dec 7, 2025. doi: 10.3748/wjg.v31.i45.113848
Prognostic factors for peritoneovenous shunt placement for refractory ascites in liver cirrhosis
Akira Hamaguchi, Junji Ueda, Akira Matsushita, Youich Kawano, Tetsuya Shimizu, Takahiro Murokawa, Takashi Ono, Takahiro Haruna, Daigo Yoshimori, Hiroshi Yoshida, Department of Gastroenterological Surgery, Nippon Medical School, Tokyo 1138603, Japan
Nobuhiko Taniai, Masato Yoshioka, Department of Gastroenterological Surgery, Nippon Medical School Musashi Kosugi Hospital, Kanagawa 2118533, Japan
Satoshi Mizutani, Department of Gastrointestinal Surgery, Nippon Medical School Musashi Kosugi Hospital, Kanagawa 2118533, Japan
Tomohiro Kanda, Hiroyasu Furuki, Department of Gastrointestinal Surgery, Nippon Medical School Tama Nagayama Hospital, Tokyo 2068512, Japan
Hideyuki Takata, Department of Surgery, Nippon Medical School, Tokyo 1138603, Japan
Yuto Aoki, Mampei Kawashima, Toshiyuki Irie, Department of Gastroenterological Surgery, Nippon Medical School Chiba Hokusoh Hospital, Chiba 2701694, Japan
Author contributions: Hamaguchi A, Ueda J, and Yoshida H performed the data analysis and completed the manuscript writing; Taniai N, Yoshioka M, Matsushita A, Mizutani S, Kawano Y, Shimizu T, Kanda T, Murokawa T, Takata H, Furuki H, Aoki Y, Kawashima M, Irie T, Ohno T, Haruna T, and Yoshimori D contributed to the manuscript revision of all subsequent versions; all authors contributed to the study conception and design, and have read and approved the final version to be published.
Institutional review board statement: This study was approved by the Ethics Committee of Nippon Medical School Hospital, No. M-2024-190.
Informed consent statement: All the patients provide consent for treatment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The datasets used and analyzed during the current study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Junji Ueda, MD, PhD, Department of Gastroenterological Surgery, Nippon Medical School, 5-1, Sendagi Bunkyo-ku, Tokyo 1138603, Japan.
Received: September 5, 2025
Revised: September 22, 2025
Accepted: October 29, 2025
Published online: December 7, 2025
Processing time: 90 Days and 0.1 Hours
Revised: September 22, 2025
Accepted: October 29, 2025
Published online: December 7, 2025
Processing time: 90 Days and 0.1 Hours
Core Tip
Core Tip: This study culminated in the proposal of a novel scoring system to predict prognosis after peritoneovenous shunt placement for refractory ascites in patients with liver cirrhosis. In an analysis of 100 cases, four prognostic factors were identified: Age ≥ 60 years; Child-Pugh score ≥ 10; female sex; and liver volume < 1057 mL. Patients were stratified into peritoneovenous shunt grade A (0-2 points) and grade B (3-4 points), with significantly better survival observed in grade A. This scoring system may support clinical decision-making and improve patient outcomes.