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Article: Superior mesenteric artery syndrome complicating dialysis patients with peritoneal failure - Report of 3 cases

TitleSuperior mesenteric artery syndrome complicating dialysis patients with peritoneal failure - Report of 3 cases
Authors
KeywordsDialysis
End stage renal disease
Peritonitis
Superior mesenteric artery syndrome
Issue Date2011
PublisherDustri-Verlag Dr. Karl Feistle. The Journal's web site is located at http://www.clinnephrol.com
Citation
Clinical Nephrology, 2011, v. 75 SUPPL. 1, p. S37-S41 How to Cite?
AbstractWe report 3 cases of superior mesenteric artery syndrome in patients previously on maintenance peritoneal dialysis converted to hemodialysis after peritoneal failure. All 3 patients presented with repeated vomiting and severe malnutrition. It is postulated that complications arising from peritoneal dialysis such as peritoneal sclerosis, adhesions and collections after CAPD peritonitis may be important contributing factors for the SMA syndrome in these 3 patients. All of them succumbed within six months of diagnosis. The first 2 patients received gastrointestinal bypass surgery and died post-operatively due to impaired wound healing and nosocomial sepsis. The 3rd patient was treated conservatively with nasoduodenal feeding but succumbed to aspiration pneumonia. It is postulated that complications arising from peritoneal dialysis including peritoneal sclerosis, adhesions and collections after CAPD peritonitis may contribute to the SMAsyndrome in these patients. Our experience suggests that SMA syndrome in end-stage renal disease patients is associated with high surgical morbidity and mortality possibly related to their poor premorbid condition and pre-existing malnutrition. Aggressive parenteral nutrition should be considered to build up the general status before proceeding to surgical intervention. ©2011 Dustri-Verlag Dr. K. Feistle.
Persistent Identifierhttp://hdl.handle.net/10722/142395
ISSN
2015 Impact Factor: 1.065
2015 SCImago Journal Rankings: 0.498
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYap, DYHen_HK
dc.contributor.authorMa, MKMen_HK
dc.contributor.authorLai, ASHen_HK
dc.contributor.authorChan, SYen_HK
dc.contributor.authorSeto, WKen_HK
dc.contributor.authorLam, MFen_HK
dc.contributor.authorChan, TMen_HK
dc.contributor.authorLai, KNen_HK
dc.date.accessioned2011-10-28T02:45:03Z-
dc.date.available2011-10-28T02:45:03Z-
dc.date.issued2011en_HK
dc.identifier.citationClinical Nephrology, 2011, v. 75 SUPPL. 1, p. S37-S41en_HK
dc.identifier.issn0301-0430en_HK
dc.identifier.urihttp://hdl.handle.net/10722/142395-
dc.description.abstractWe report 3 cases of superior mesenteric artery syndrome in patients previously on maintenance peritoneal dialysis converted to hemodialysis after peritoneal failure. All 3 patients presented with repeated vomiting and severe malnutrition. It is postulated that complications arising from peritoneal dialysis such as peritoneal sclerosis, adhesions and collections after CAPD peritonitis may be important contributing factors for the SMA syndrome in these 3 patients. All of them succumbed within six months of diagnosis. The first 2 patients received gastrointestinal bypass surgery and died post-operatively due to impaired wound healing and nosocomial sepsis. The 3rd patient was treated conservatively with nasoduodenal feeding but succumbed to aspiration pneumonia. It is postulated that complications arising from peritoneal dialysis including peritoneal sclerosis, adhesions and collections after CAPD peritonitis may contribute to the SMAsyndrome in these patients. Our experience suggests that SMA syndrome in end-stage renal disease patients is associated with high surgical morbidity and mortality possibly related to their poor premorbid condition and pre-existing malnutrition. Aggressive parenteral nutrition should be considered to build up the general status before proceeding to surgical intervention. ©2011 Dustri-Verlag Dr. K. Feistle.en_HK
dc.languageengen_US
dc.publisherDustri-Verlag Dr. Karl Feistle. The Journal's web site is located at http://www.clinnephrol.comen_HK
dc.relation.ispartofClinical Nephrologyen_HK
dc.subjectDialysisen_HK
dc.subjectEnd stage renal diseaseen_HK
dc.subjectPeritonitisen_HK
dc.subjectSuperior mesenteric artery syndromeen_HK
dc.subject.meshKidney Failure, Chronic - therapyen_US
dc.subject.meshMalnutrition - etiologyen_US
dc.subject.meshPeritoneal Dialysisen_US
dc.subject.meshRenal Dialysis - adverse effectsen_US
dc.subject.meshSuperior Mesenteric Artery Syndrome - etiology - radiography - therapyen_US
dc.titleSuperior mesenteric artery syndrome complicating dialysis patients with peritoneal failure - Report of 3 casesen_HK
dc.typeArticleen_HK
dc.identifier.emailYap, DYH: desmondy@hku.hken_HK
dc.identifier.emailSeto, WK: wkseto2@hku.hken_HK
dc.identifier.emailChan, TM: dtmchan@hku.hken_HK
dc.identifier.emailLai, KN: knlai@hku.hken_HK
dc.identifier.authorityYap, DYH=rp01607en_HK
dc.identifier.authoritySeto, WK=rp01659en_HK
dc.identifier.authorityChan, TM=rp00394en_HK
dc.identifier.authorityLai, KN=rp00324en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.5414/CNP75037en_HK
dc.identifier.pmid21269592-
dc.identifier.scopuseid_2-s2.0-79951979288en_HK
dc.identifier.hkuros197016en_US
dc.identifier.hkuros210002-
dc.identifier.hkuros213683-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79951979288&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume75en_HK
dc.identifier.issueSUPPL. 1en_HK
dc.identifier.spageS37en_HK
dc.identifier.epageS41en_HK
dc.identifier.isiWOS:000288231500009-
dc.publisher.placeMünchen-Deisenhofen, Germanyen_HK
dc.identifier.scopusauthoridYap, DYH=25958532000en_HK
dc.identifier.scopusauthoridMa, MKM=37034386700en_HK
dc.identifier.scopusauthoridLai, ASH=8711668800en_HK
dc.identifier.scopusauthoridChan, SY=36901171600en_HK
dc.identifier.scopusauthoridSeto, WK=23390675900en_HK
dc.identifier.scopusauthoridLam, MF=35300050600en_HK
dc.identifier.scopusauthoridChan, TM=7402687700en_HK
dc.identifier.scopusauthoridLai, KN=7402135706en_HK

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