Peritoneal Dialysis (PD) Terminal: A Rescue Treatment for Uremic Patients with Massive Ascites Related to Malignancies
Autor: | Tatsuo Shiigai, Yoshitaka Maeda |
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Rok vydání: | 2005 |
Předmět: |
medicine.medical_specialty
Palliative care business.industry medicine.medical_treatment Continuous ambulatory peritoneal dialysis Peritonitis Abdominal distension medicine.disease Gastroenterology Uremia Peritoneal dialysis Surgery Internal medicine Ascites medicine medicine.symptom business General Economics Econometrics and Finance Dialysis |
Zdroj: | Journal of Rural Medicine. 1:33-38 |
ISSN: | 1880-4888 1880-487X |
Popis: | Dialysis therapies are generally considered to be contraindications in cases with non-curative malignancies. Here we report two cases in which peritoneal dialysis was undertaken to reduce malignancy-related symptoms like abdominal full sensation and anorexia as well as to eliminate uremic toxins. The first case was a 61year-old male with peritonitis carcinomatosa and its related ascites disseminated from pancreas tail cancer. His renal function deteriorated after initiating chemotherapy using 1,000mg/m² of gemcitabine (GEM), and dialysis was required to improve his uremic symptoms. The second case was an 81year-old male who had been receiving maintenance HD therapy for 8years at another clinic. He had been complaining of abdominal distension derived from ascites and had multiple liver tumors of unknown origin. Since the main complaint in these two cases was unbearable abdominal full sensation, continuous ambulatory peritoneal dialysis (CAPD) was initiated to simultaneously control uremia and to relieve the abdominal distension. CAPD was successful in reducing ascites and in controlling the uremia as well as general symptoms. Consequently, we propose “PD terminal” as the rescue treatment for uremic patients with massively retained ascites related to malignancies. |
Databáze: | OpenAIRE |
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