Acute pancreatitis complicated by acute renal failure successfully treated with peritoneal dialysis.
- Author:
Hye Jin SEO
1
;
Hee Jeong CHOI
;
Ye Soo JANG
;
Young Deuk YOUN
;
Hyun Soo KIM
;
Duk Hyun LEE
;
Sung Ho KIM
Author Information
1. Department of Internal Medicine, Fatima Hospital, Daegu, Korea. shkim@fatima.or.kr
- Publication Type:Case Report
- Keywords:
Acute pancreatitis;
Acute renal failure;
Peritoneal dialysis
- MeSH:
Acute Kidney Injury;
Adult;
Catheters;
Exudates and Transudates;
Follow-Up Studies;
Humans;
Pancreatitis;
Peritoneal Dialysis
- From:Korean Journal of Medicine
2008;74(4):430-434
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The mortality of acute pancreatitis complicated by acute renal failure (ARF) remains high. Among several therapeutic modalities, peritoneal dialysis (PD) has advantages due to its ability to remove toxic materials in the peritoneal exudate as well as urotoxic substances in the blood. We report successful treatment with PD in a patient with acute pancreatitis and ARF. A 41-year-old heavy drinker was admitted due to acute pancreatitis complicated by ARF. A therapeutic plan of PD was designed. A Tenckhoff PD catheter was used, considering its lower potential for infection compared to conventional catheters. The frequency of PD was set at 8 times per day, considering the catabolic state in pancreatitis. The clinical symptoms and biochemical parameters showed remarkable improvement during the follow up period. In conclusion, PD is one of the effective treatment modalities for treating ARF in patients with pancreatitis.
