| Three cases of acute peritoneal dialysis in acute pancreatitis patients complicated by acute renal failure |
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Joo An Hwang, Eun Joon Moon, Eun Kyung Kim, Min Jae Yang, Jae Chul Hwang, In Whee Park, Heungsoo Kim |
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| 급성 췌장염에 병발한 급성 신부전의 급성 복막투석 3예 |
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황주안·문은준·김은경·양민재·황재철·박인휘·김흥수, Eun Joon Moon, Eun Kyung Kim, Min Jae Yang, Jae Chul Hwang, In Whee Park, Heungsoo Kim |
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| Abstract |
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Severe acute pancreatitis occurs in about 20% of patients with acute pancreatitis and can be associated with multiorgan failure.
Acute renal failure caused by severe acute pancreatitis not only aggravates pancreatitis but also increases patient mortality.
Peritoneal exudate contains many toxic substances such as amylase, lipase, phospholipase-A, trypsinogen, prostaglandins, kinin
forming enzymes, and histamine releasing factor. Upon entering the circulation, these substances can cause complications, which
are responsible for the majority of early deaths. This said, peritoneal dialysis is indicated to remove toxic materials from the peritoneal
cavity and to manage acute renal failure.
We report three acute peritoneal dialysis cases in acute renal failure associated with severe acute pancreatitis. (Korean J Med
77:S1246-S1252, 2009) |
| Key Words:
Acute pancreatitis; Acute renal failure; Peritoneal dialysis |
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