How do the mortality rates of peritonitis vary among treatments?

Updated: Jul 23, 2019
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

Soriano et al found that cirrhotic patients with SP who underwent surgical treatment tended to have a lower mortality rate than did those who received medical therapy only (53.8% vs 81.8%, respectively). [15] Among the surgically treated patients with SP, the survival rate was greater in those with the shortest time between diagnostic paracentesis and surgery. These researchers concluded that the prognosis of cirrhotic patients with SP could be improved via a low threshold of suspicion on the basis of Runyon's criteria and microbiologic data, prompt use of abdominal CT scanning, and early surgical evaluation.


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