Evidence-based recommendations on subcutaneous automated low-flow pump implantation for refractory ascites in adults. This involves inserting a pump under the skin to move excess fluid from the abdomen to the bladder, where it is passed in the urine.

Is this guidance up to date?

January 2023: We considered this guidance for reassessment, and it will not be updated at this time. The device used in this procedure does not currently have a CE mark in the UK. However, if you believe there is a new device or evidence which would warrant a review of this guidance, please contact us at IP@nice.org.uk.

Guidance development process

How we develop NICE interventional procedures guidance

Coding and clinical classification codes for this guidance

This guidance replaces NICE interventional procedures guidance on subcutaneous implantation of a battery-powered catheter drainage system for managing refractory and recurrent ascites (IPG479).

  • National Institute for Health and Care Excellence (NICE)