Severe ileus after colonoscopy in a patient on peritoneal dialysis
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Peritoneal dialysis (PD) is associated with the development of various complications, such as exit site infection or peritonitis, and rarely, intestinal obstruction in prolonged PD patients with recurrent peritonitis. However, post-colonoscopy acute intestinal obstruction has not been reported in PD patients to date. Herein, we report a case of severe ileus after a colonoscopy without previous episodes of peritonitis in a PD patient. A 51-yearold man undergoing PD for 7 years visited our emergency department due to severe abdominal pain and vomiting after colonoscopic polypectomy. A simple abdominal radiography and abdominal computed tomography showed ileus with collapsed distal ileal loop. A peritoneal dialysate study revealed no evidence of peritonitis. The patient was treated with decompression therapy, and ileus was successfully treated without complications. This case suggests that it is not only necessary to prevent peritonitis, but also important to monitor the development of ileus after colonoscopy in PD patients.
Abstract
Peritoneal dialysis (PD) is associated with the development of various complications, such as exit site infection or peritonitis, and rarely, intestinal obstruction in prolonged PD patients with recurrent peritonitis. However, post-colonoscopy acute intestinal obstruction has not been reported in PD patients to date. Herein, we report a case of severe ileus after a colonoscopy without previous episodes of peritonitis in a PD patient. A 51-yearold man undergoing PD for 7 years visited our emergency department due to severe abdominal pain and vomiting after colonoscopic polypectomy. A simple abdominal radiography and abdominal computed tomography showed ileus with collapsed distal ileal loop. A peritoneal dialysate study revealed no evidence of peritonitis. The patient was treated with decompression therapy, and ileus was successfully treated without complications. This case suggests that it is not only necessary to prevent peritonitis, but also important to monitor the development of ileus after colonoscopy in PD patients.
참고문헌 (13)
- Ko HH, "Acute pancreatitis and ileus post colonoscopy", Can J Gastroenterol, 23, pp.551~553 (2009)
- Church J, "Colonoscopy: principles and practice", pp.170~180 (2003), Blackwell
- Wu HH, "Prophylactic antibiotics for endoscopy-associated peritonitis in peritoneal dialysis patients", PLoS One, 8, pp.e71532~ (2013)
- Poortvliet W, "CAPD peritonitis after colonoscopy: follow the guidelines", Neth J Med, 68, pp.377~378 (2010)
- Crispin A, "Process quality and incidence of acute complications in a series of more than 230,000 outpatient colonoscopies", Endoscopy, 41, pp.1018~1025 (2009)
- Piraino B, "Peritoneal dialysis-related infections recommendations:2005 update", Perit Dial Int, 25, pp.107~131 (2005)
- Liakakos T, "Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management", Dig Surg, 18, pp.260~273 (2001)
- 김혜정, "대장내시경 후 발생된 소장폐쇄", Annals of Coloproctolgy, 25(1), pp.56~58 (2009), 대한대장항문학회
- Hunter IA, "Small bowel obstruction complicating colonoscopy: a case report", J Med Case Rep, 2, pp.179~ (2008)
- González Ramírez A, "Small bowel obstruction and perforation after colonoscopy", Endoscopy, 35, pp.192~ (2003)
- Yip T, "Risks and outcomes of peritonitis after flexible colonoscopy in CAPD patients", Perit Dial Int, 27, pp.560~564 (2007)
- Williams JD, "Morphologic changes in the peritoneal membrane of patients with renal disease", J Am Soc Nephrol, 13, pp.470~479 (2002)
- Flessner MF, "Peritoneal changes after exposure to sterile solutions by catheter", J Am Soc Nephrol, 18, pp.2294~2302 (2007)