Successfully diagnosed and treated of 2 peritoneal dialysis patients with cholangiolithiasis: a case report and literature review
10.3760/cma.j.cn101721-20230713-000253
- VernacularTitle:腹膜透析患者合并胆管结石成功诊治2例报告及文献复习
- Author:
Lei WU
1
;
Jiandong NIE
;
Qinghua SUN
;
Chunying SHI
;
Wen TANG
Author Information
1. 北京大学第三医院肾内科，北京 100191
- Keywords:
Peritoneal dialysis;
Cholangiolithiasis Cholangitis;
Endoscopic retrograde cholangiopancreatography;
Nipple sphincterotomy;
Postoperative complications;
Pe
- From:
Clinical Medicine of China
2024;40(3):212-215
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the successful diagnosis and treatment experience of two patients with peritoneal dialysis complicated with cholangiolithiasis and cholangitis who received endoscopic retrograde cholangiopancreatography (ERCP).Methods:A retrospective analysis was conducted on the clinical data of two patients with peritoneal dialysis combined with bile duct stones at Peking University Third Hospital who underwent ERCP combined with endoscopic sphincterotomy and were successfully transferred out of the hospital. Observe successful removal of bile duct stones and adverse events related to surgery, such as pancreatitis, summarize experience, and conduct literature review.Result:The overall success rate of stone removal in 2 patients was 100%, and they recovered well after treatment without severe postoperative bleeding. One patient developed postoperative pancreatitis and secondary peritonitis after ECRP, and active anti infection treatment did not affect peritoneal function. Regular peritoneal dialysis was maintained during the perioperative period, and postoperative close follow-up and flexible adjustment of peritoneal dialysis dose and concentration were carried out to ensure a smooth transition of patients to regular and stable peritoneal dialysis.Conclusion:ERCP is a feasible treatment for PD patients combined with choledocholithiasis, and can be well tolerated by them. The treatment of peritoneal dialysis patients requires long-term follow-up and management, and multidisciplinary cooperation is required when acute complications occur.
