


{"id":8308,"date":"2026-06-19T11:28:47","date_gmt":"2026-06-19T11:28:47","guid":{"rendered":"https:\/\/www.viamedsalud.com\/ivoqa\/?p=8308"},"modified":"2026-06-19T10:29:32","modified_gmt":"2026-06-19T10:29:32","slug":"ascites-in-cancer-patients-why-does-it-occur-and-how-is-it-treated","status":"publish","type":"post","link":"https:\/\/www.viamedsalud.com\/ivoqa\/en\/disease\/peritoneal-carcinomatosis\/ascites-in-cancer-patients-why-does-it-occur-and-how-is-it-treated\/","title":{"rendered":"Ascites in Cancer Patients: Why Does It Occur and How Is It Treated?"},"content":{"rendered":"<p>The accumulation of fluid in the abdomen is a common and distressing condition in oncology patients. At the Advanced Oncology Institute (IVOQA) at Viamed Santa Elena University Hospital, we address this symptom through cutting-edge local treatments designed to restore comfort and improve our patients\u2019 quality of life.<\/p>\n<h2><strong>What Is Ascites in Cancer Patients?<\/strong><\/h2>\n<p>Ascites in cancer patients is the abnormal buildup of fluid within the peritoneal cavity, the space surrounding the organs inside the abdomen.<\/p>\n<p>This condition typically develops during advanced stages of cancer and is commonly associated with symptoms such as significant abdominal swelling, a feeling of heaviness, discomfort, and pain.<\/p>\n<h2><strong>Why Does Fluid Accumulate in the Abdomen?<\/strong><\/h2>\n<p>The main cause of malignant ascites is<a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/peritoneal-carcinomatosis-treatments\/?_gl=1*18rc610*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzEkdDE3ODA2NTg3MDUkajYwJGwwJGgw\"> peritoneal carcinomatosis<\/a>, a condition in which cancer cells spread throughout the tissue lining the abdominal cavity.<\/p>\n<p>This process most frequently originates from tumors located in:<\/p>\n<ul>\n<li>The ovaries<\/li>\n<li>The stomach (gastric cancer)<\/li>\n<li>The colon and rectum<\/li>\n<li>The appendix or pancreas<\/li>\n<li>Primary peritoneal mesothelioma<\/li>\n<\/ul>\n<p>As malignant cells spread across the peritoneal membrane, they irritate the tissue and block the abdomen\u2019s natural lymphatic drainage system. As a result, the body produces more fluid than it can reabsorb, leading to ascites.<\/p>\n<h2><strong>Advanced Treatments: A Paradigm Shift with PIPAC and ePIPAC<\/strong><\/h2>\n<p>Traditionally, ascites management was limited to repeated fluid drainage procedures (paracentesis) or conventional intravenous chemotherapy. Today, IVOQA offers a far more effective alternative that directly targets the root cause of the problem through <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/pipac\/?_gl=1*18rc610*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzEkdDE3ODA2NTg3MDUkajYwJGwwJGgw\">Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC).<\/a><\/p>\n<ul>\n<li><strong>Maximum Local Penetration: <\/strong>By delivering chemotherapy as a pressurized aerosol, PIPAC achieves deeper penetration into tumor-affected tissues, increasing local treatment effectiveness.<\/li>\n<li><strong>Minimal Systemic Toxicity: <\/strong>Only a small amount of chemotherapy passes from the abdominal cavity into the bloodstream, significantly reducing side effects throughout the rest of the body.<\/li>\n<li><strong>Electrostatic Evolution (ePIPAC): <\/strong>At IVOQA, we also offer <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/epipac\/?_gl=1*18rc610*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzEkdDE3ODA2NTg3MDUkajYwJGwwJGgw\">ePIPAC<\/a> technology, which uses an electrostatic field to improve the distribution of chemotherapy microparticles across the peritoneum while maintaining an excellent safety profile.<\/li>\n<\/ul>\n<p>By directly targeting and controlling the tumor implants responsible for irritating the abdominal cavity, these treatments can dramatically reduce the production of ascitic fluid.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Request an Expert Assessment<\/strong><\/p>\n<p>If you or a loved one would like a second medical opinion regarding advanced management of ascites and peritoneal carcinomatosis, you can contact Dr. Delia Cort\u00e9s-Guiral\u2019s team at IVOQA through our standard appointment channels.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div style=\"max-width: 800px; margin: 2em auto; font-family: Segoe UI, Arial, sans-serif;\">\n<h2 style=\"font-size: 1.8em; color: #005b99; font-weight: 600;\">Frequently Asked Questions about Ascites Treatment<\/h2>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Which Types of Cancer Most Commonly Cause Ascites Due to Peritoneal Carcinomatosis?<\/div>\n<div style=\"color: #444; font-size: 1em;\">Fluid accumulation in the abdomen caused by the spread of cancer cells is most commonly associated with gynecological and gastrointestinal cancers, particularly ovarian, gastric, colorectal, appendiceal, and pancreatic cancers.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">How Does PIPAC Help Reduce Fluid Production in the Abdomen?<\/div>\n<div style=\"color: #444; font-size: 1em;\">PIPAC delivers chemotherapy directly into the abdominal cavity as a pressurized aerosol. By locally destroying the tumor implants that irritate the peritoneal membrane, the abdomen can regain balance and reduce the formation of ascites, helping to relieve symptoms and discomfort.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">What Are the Benefits of the ePIPAC Electrostatic System in Ascites Treatment?<\/div>\n<div style=\"color: #444; font-size: 1em;\">The ePIPAC system adds an invisible electrostatic field during drug nebulization. This significantly improves the distribution and absorption of chemotherapy within affected tissues without increasing risks or toxicity for the patient.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">What Are the Requirements for a Patient to Be Eligible for These Treatments at IVOQA?<\/div>\n<div style=\"color: #444; font-size: 1em;\">Each patient must undergo a comprehensive evaluation by our multidisciplinary team. As a general selection criterion, patients should not have severe intestinal obstruction symptoms or require total parenteral nutrition as part of their daily care.<\/div>\n<\/div>\n<div style=\"color: #666; font-size: 0.9em; margin-top: 1em;\">The information in this section is for general purposes only and does not replace individual medical advice.<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Which Types of Cancer Most Commonly Cause Ascites Due to Peritoneal Carcinomatosis?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Fluid accumulation in the abdomen caused by cancer cell spread is most commonly associated with gynecological and gastrointestinal cancers, particularly ovarian, gastric, colorectal, appendiceal, and pancreatic cancers.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How Does PIPAC Help Reduce Fluid Production in the Abdomen?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"PIPAC delivers chemotherapy into the abdominal cavity as a pressurized aerosol. 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As a general rule, they should not have severe intestinal obstruction symptoms or require total parenteral nutrition for daily care.\"\n      }\n    }\n  ]\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The accumulation of fluid in the abdomen is a common and distressing condition in oncology patients. At the Advanced Oncology Institute (IVOQA) at Viamed Santa Elena University Hospital, we address this symptom through cutting-edge local treatments designed to restore comfort and improve our patients\u2019 quality of life. What Is Ascites in Cancer Patients? Ascites in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27],"tags":[],"class_list":["post-8308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-peritoneal-carcinomatosis"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ascites in Cancer Patients: Why Does It Occur and How Is It Treated? - IVOQA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/en\/disease\/peritoneal-carcinomatosis\/ascites-in-cancer-patients-why-does-it-occur-and-how-is-it-treated\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ascites in Cancer Patients: Why Does It Occur and How Is It Treated? - IVOQA\" \/>\n<meta property=\"og:description\" content=\"The accumulation of fluid in the abdomen is a common and distressing condition in oncology patients. At the Advanced Oncology Institute (IVOQA) at Viamed Santa Elena University Hospital, we address this symptom through cutting-edge local treatments designed to restore comfort and improve our patients\u2019 quality of life. What Is Ascites in Cancer Patients? 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