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Peritonitis esclerosante primaria y secundaria: estudio comparativo / Primary and secondary sclerosing peritonitis: comparative study
Rojas C, Jorge; Benavides, Carlos.
  • Rojas C, Jorge; Hospital Clínico Universidad de Chile. Departamento de Cirugía. Santiago. CL
  • Benavides, Carlos; s.af
Rev. cir. (Impr.) ; 71(5): 412-424, oct. 2019. tab, ilus
Article in Spanish | LILACS | ID: biblio-1058295
RESUMEN
Resumen

Introducción:

Existen dos tipos de peritonitis esclerosante (PE) primaria o idiopática y secundaria, generalmente a diálisis peritoneal (DP), y con menor frecuencia a otras patologías abdominales o sistémicas. Su mortalidad es alta.

Objetivo:

Comparar las características clínicas, estudios diagnósticos y tratamiento de pacientes con Peritonitis Esclerosante Primaria y Secundaria, definir si existen diferencias y determinar los principales elementos clínicos e imagenológicos que permitan hacer un diagnóstico precoz y mejorar los resultados terapéuticos. Material y

Métodos:

Se analizan 18 casos de PE diagnosticados en nuestro hospital, entre los años 2001-2014. Incluye una serie retrospectiva de 15 casos de PE secundaria (13 por diálisis peritoneal y 2 por cirrosis hepática). Se compara con un estudio prospectivo que incluye 3 pacientes con PE primaria.

Resultados:

Las principales diferencias se evidencian en la presentación clínica PE primaria se presenta con cuadro de obstrucción intestinal y baja de peso de distinta magnitud. PE secundaria predominan el dolor abdominal, peritonitis recurrente y la falla de ultrafiltración. La tomografía computada de abdomen es útil, sobre todo cuando hay obstrucción intestinal. Ha hecho posible el diagnóstico preoperatorio.

Conclusiones:

Se requiere un alto índice de sospecha para el diagnóstico precoz de PE, sobre todo para la forma primaria. Debe sospecharse en todo paciente con dolor abdominal, vómitos recurrentes y baja de peso de cualquier magnitud; y en aquellos en diálisis peritoneal durante 5 años o más, que presenten dolor abdominal y/o peritonitis recurrente y/o falla de ultrafiltración.
ABSTRACT

Introduction:

There are two types of sclerosing peritonitis (SP) primary or idiopathic and secondary, generally to peritoneal dialysis, and less frequently, to other abdominal or systemic pathologies. Mortality related to this is high.

Objective:

To compare the clinical feature, diagnostic studies and treatment of patients with Primary and Secondary Sclerosing Peritonitis, to define whether there are any differences and to establish the main clinical and imaging elements allowing for an early diagnosis and improving the therapeutic results. Material and

Methods:

An analysis of 18 SP cases diagnosed at our hospital between 2001-2014 was carried out. This includes a retrospective series of 15 cases of secondary SP (13 to peritoneal dialysis and 2 to liver cirrhosis). This is compared against a prospective study that includes 3 patients with primary SP.

Results:

The main differences became evident in the clinical presentation Primary SP occurs in an intestinal obstruction and a loss of weight scenario of varying degrees. Secondary SP abdominal pain and recurrent peritonitis as well as ultrafiltration failure prevail. CT of the abdomen has proven to be useful, in particular in those cases where there is intestinal obstruction. It has made preoperative diagnostic possible.

Conclusions:

A high degree of suspicion is required for an SP early diagnosis, especially for the primary form. All patients presenting abdominal pain, recurrent vomiting and any degree of weight loss and those with five or more years of peritoneal dialysis presenting abdominal pain and/or recurrent peritonitis and/or ultrafiltration failure should raise a diagnosis suspicion.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Peritonitis / Peritoneal Dialysis Type of study: Observational study / Screening study Limits: Adult / Aged / Female / Humans / Male Language: Spanish Journal: Rev. cir. (Impr.) Journal subject: Cirurgia Geral / Oftalmologia / Ortopedia Year: 2019 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Clínico Universidad de Chile/CL

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Full text: Available Index: LILACS (Americas) Main subject: Peritonitis / Peritoneal Dialysis Type of study: Observational study / Screening study Limits: Adult / Aged / Female / Humans / Male Language: Spanish Journal: Rev. cir. (Impr.) Journal subject: Cirurgia Geral / Oftalmologia / Ortopedia Year: 2019 Type: Article Affiliation country: Chile Institution/Affiliation country: Hospital Clínico Universidad de Chile/CL