| Theme |
Disease of Liver, Gallbladder, Spleen, and Pancreas in Dialysis Patients |
| Title |
Acute pancreatitis in patients receiving peritoneal dialysis |
| Author |
Hideaki Yoshida |
Second Department of Internal Medicine, Sapporo Medical University School of Medicine |
| Author |
Nobuyuki Ura |
Second Department of Internal Medicine, Sapporo Medical University School of Medicine |
| [ Summary ] |
Approximately 14,500 new acute pancreatitis patients have been registered annually in Japan. The incidence of acute pancreatitis tends to be higher in end-stage renal failure patients, especially in patients receiving peritoneal dialysis (CAPD), than in normal subjects. The clinical courses for about 70% of the patients with this disease are very good and the patients recover without any complications after receiving not per os (NPO) therapy for several days. On the other hand, patients who fail to moderate or severe pancreatitis are often required intensive care medicine because of high mortality. CAPD patients are sometimes difficult to make diagnose because abdominal pain in CAPD patients is usually treated as a sign of bacterial peritonitis at first. It is well known that pancreatic enzymes are often elevated in cases of chronic renal failure and this fact may also lead to misdiagnose. Even in case of chronic renal failure, severe acute pancreatitis is treated intensively with internal medicines, according to specific guidelines and surgical treatment is sometimes required to treat complications. |