Objective To assess the possible causes of acute pancreatitis (AP) in long term peritoneal dialysis (PD) and hemodialysis (HD) patients, and to discuss the diagnosis and treatment of AP in this kind of patients.
Methods The clinical data of 9 cases of AP in PD and HD patients who were admitted in the hospital during January 1993 and January 2000 were analysed retrospectively.
Results The serum levels of amylase of all the 9 cases were over three and a half times of upper limit value of healthy subjects. B mode ultrasound and CT scan examinations were useful for diagnosis of AP. Eight patients recovered very well with conservative treatment, while one patient who was diagnosed as acute severe pancreatitis and complicated with shock died.
Conclusion Long term PD and HD patients are predisposing to develop AP. Diagnosis of AP in these patients primarily depends on the detection of serum amylase. Dialysis treatment is indispensable for cure of AP.
Citation：
ZHENG Chaoxu,TAN Min,CHEN Guotai,et al.. Acute Pancreatitis in Long Term Peritoneal Dialysis and Hemodialysis Patients (Report of 9 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(1): 36-37. doi:
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- 1. Pitrone F, Pellegrino E, Mileto G, et al. May pancreatitis represent a CAPD complication? report of two cases with a rapid evolution to death [Ｊ]. Int J Artif Organs, 1985; 8(4)∶235.
- 2. 中华医学会外科学会胰腺学组.急性胰腺炎的临床诊断及分级标准（1996年第二次方案） [Ｊ].中华外科杂志，1997； 35（12）∶773.
- 3. 杨晓，王惠玲，邓安国.慢性肾衰患者血清淀粉酶活力的临床观察 [Ｊ].中国实用内科杂志，1997； 17（6）∶349.
- 4. Vaziri ND, DuraSmith B, Miller R, et al. Pancreatic pathology in chronic dialysis patients ： an autopsy study of 78 cases [Ｊ]. Nephron, 1987; 46(4)∶347.
- 5. Rutsky EA, Robards M, vanDyke JA, et al. Acute pancreatitis in patients with end stage renal disease without transplantation [Ｊ]. Arch Intern Med, 1986; 146(9)∶1741.
- 6. Owyang C, Miller LJ, DiMagno EP, et al. Gastrointestinal hormone profile in renal insufficiency [Ｊ]. Mayo Clin Proc, 1979; 54(12)∶769.
- 7. Royse VL, Jensen DM, Corwin HL. Pancreatic enzymes in chronic renal failure [Ｊ]. Arch Intern Med, 1987; 147(3)∶537.
