Acute Pancreatitis in Peritoneal Dialysis Patients: Diagnosis in the Icodextrin Era

Villacorta, Javier; Rivera, Machado; Álvaro, Sara Jiménez; Palomares, José R. Rodríguez; Ortuño, J

doi:10.3747/pdi.2009.00046

Cited by 8 publications

(11 citation statements)

References 7 publications

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“…Icodextrin can be prescribed once daily for patients with diabetes and glycated hemoglobin > 7.0%, requiring 2.5% or 4.25% dextrose solution in more than half of daily exchanges, or with high or high-average peritoneal membrane transport. Although icodextrin may interfere with amylase activity measurements, resulting in falsely low amylase levels (30), lipase activity closely corresponds to the presence of AP (31). The present study revealed that the use of icodextrin could reduce the risk of developing AP in PD patients.…”

Section: Discussionmentioning

confidence: 99%

Risk of and Fatality from Acute Pancreatitis in Long-Term Hemodialysis and Peritoneal Dialysis Patients

Wang

Lai

et al. 2018

Perit Dial Int

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Section: Discussionmentioning

confidence: 99%

Risk of and Fatality from Acute Pancreatitis in Long-Term Hemodialysis and Peritoneal Dialysis Patients

Wang

Lai

et al. 2018

Perit Dial Int

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“…These consisted of 14 individual case reports [14][15][16][17][18][19][20][21][22][23][24][25][26][27], five case series [6,11,12,28,29] and nine population-based studies [2,4,[7][8][9][10]13,30,31] reporting a total of 94 cases with 133 episodes of pancreatitis from 1985 to 2011. Only articles in English and those describing cases of AP in PD patients were included.…”

Section: Discussionmentioning

confidence: 99%

“…; however, in only 20 out of 75 (26.7%) episodes was there any evidence of coexistent or preceding peritonitis with AP[4,6,7,[10][11][12][13][14][15][16][17][18][19][20][21][22][25][26][27][28]31].…”

mentioning

confidence: 99%

Acute pancreatitis in peritoneal dialysis

Manga

Lim²,

Mangena³

et al. 2012

European Journal of Gastroenterology & Hepatology

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Abdominal pain with a discoloured dialysate in a patient on peritoneal dialysis (PD) is usually attributed to infective peritonitis. Although acute pancreatitis (AP) is not usually a complication of end-stage renal disease, some studies suggest an increased risk especially in patients on PD. We report a case of idiopathic AP in a 41-year-old female on PD who presented with abdominal pain, fever, vomiting and a clear dark dialysate. Initial diagnosis of PD-associated infective peritonitis was made but dialysate cultures proved negative. Serum amylase showed a mild rise and computed tomography revealed necrotising pancreatitis. No common risk factors for AP were identified and she was successfully treated with conservative therapy. A literature review was carried out using a PubMed search with the words 'acute pancreatitis and peritoneal dialysis'. The literature search found a total of 94 cases of AP in the setting of PD. In more than a quarter, no cause for AP was found. Serum amylase was normal in 12.8% of episodes. Complications developed in 25 cases, and 28 patients died from the condition. Therefore, AP can be a rare, but serious complication of PD with a high mortality and must be considered in the differential diagnosis of abdominal pain in a PD patient.

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“…A search of the current literature was performed using the PubMed database which let us to take 168 articles, analyzing them and adding others from bibliography database, we obtained 236 cases of pancreatitis in peritoneal dialysis (PD) (17 case reports, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] 5 case series, [18][19][20][21][22] 11 population-based studies [23][24][25][26][27][28][29][30][31][32][33] ).…”

Section: Introductionmentioning

confidence: 99%

Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach

Aliotta

Zanoli

Lauretta

et al. 2018

Clin Med Insights Case Rep

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Until 2018, 236 cases of acute pancreatitis have been reported in patients who underwent peritoneal dialysis. Here, we presented a patient with double renal transplantation with chronic renal failure, under renal replacement therapy by peritoneal dialysis, who developed acute pancreatitis with abdominal pain, nausea, vomiting, leukocytosis with neutrophil left shift which is complicated by pancreatic pseudocyst, candida peritonitis, fungal sepsis, overlapping of Acinetobacter baumannii sepsis, and pneumonitis. After the percutaneous cystogastrostomy drainage of pancreatic pseudocyst, changes from peritoneal dialysis to hemodialysis, various thoracentesis, and polyantibiotics therapy, the resolution of the sepsis state was seen. The particular aspect of our case is the various comorbidity risks, severe pancreatitis associated with candida and A baumannii sepsis, and treatment strategy that lead to heal this kind of the high mortality rate condition.

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Acute Pancreatitis in Peritoneal Dialysis Patients: Diagnosis in the Icodextrin Era

Cited by 8 publications

References 7 publications

Risk of and Fatality from Acute Pancreatitis in Long-Term Hemodialysis and Peritoneal Dialysis Patients

Risk of and Fatality from Acute Pancreatitis in Long-Term Hemodialysis and Peritoneal Dialysis Patients

Acute pancreatitis in peritoneal dialysis

Pancreatitis Is a Silent Killer in Peritoneal Dialysis With Difficult Diagnostic Approach

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