This is a multicenter, randomized, controlled trial designed to determine if treatment with transjugular intrahepatic portosystemic shunts (TIPS) is superior to high volume paracentesis (total paracentesis) for the treatment of refractory ascites due to cirrhosis. Subjects will be randomized to either receive total paracentesis (TP) alone or TP followed by TIPS within 48 hours. Both groups will be maintained on a sodium restricted diet. Subjects receiving TP alone will be started on diuretics within 36 hours, whereas those receiving TIPS after TP will be started on diuretics if they gain more than 20 pounds. Subjects will be followed for a minimum of one year.

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
General Clinical Research Centers Program (M01)
Project #
3M01RR000037-39S1
Application #
6113106
Study Section
Project Start
1998-12-01
Project End
1999-11-30
Budget Start
1998-10-01
Budget End
1999-09-30
Support Year
39
Fiscal Year
1999
Total Cost
Indirect Cost
Name
University of Washington
Department
Type
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
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