Is there any specific care needed when caring for a PD patient who has gastric by-pass. It seems that there is some ultrafiltration problem Can you share your experience? Thanks.

Questions About PD

Joanna Neumann, Nurse from San Jose CA asked
Is there any specific care needed when caring for a PD patient who has gastric by-pass. It seems that there is some ultrafiltration problem Can you share your experience? Thanks.

1 answer

Doctor (Canada) October 16, 2017

I do not have any personal experience with PD patients who have had bariatric surgery, and the literature is very limited. There are a few reported cases of bariatric surgery in patients on PD (Valle et al, Advances in PD 2012; Imam et al, PDI 2013). Based on these reports, with cautious resumption of low volume PD, there were no instances of leaks. The larger series of 5 patients did report bloody effluent in all patients, which cleared within a few days. There were no peritonitis episodes reported. There was also no mention of untrafiltration issues in any of the patients after the procedure.

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