Singharetnam W, Holley JL
Acute treatment of constipation may lead to transmural
migration of bacteria resulting in gram negative, polymicrobial, or
fungal peritonitis
XVIth Annual CAPD Conference
Perit Dial Int Suppl 2
(Feb) 16:S45 1996
Five bedridden, hospitalized patients developed fecal peritonitis after
treament for constipation.
All five were hypoalbuminemic, and four had extensive vascular disease. All
had received laxatives
and 4 had been treated with enemas. Within 48 hours peritonitis supervened in
each case. The
outcome: 2 patients died, two were transferred to HD, and only one continued
on PD.
Comment: This is a well known problem. There are no magic solutions
except meticulous bowel
movement control.
(Stephen I. Vas, M.D.)
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XVIth Annual CAPD Conference
Basic peritoneal dialysis :
Peritonitis and exit-site infection
CRF by organ system :
GI/Liver, Hepatitis