Laparoscopic Sleeve Gastrectomy in a Patient on Peritoneal Dialysis

Avoiding interim haemodialysis by early restart of peritoneal dialysis following sleeve gastrectomy for obesity

“…Previous case reports showed that PD can be safely resumed the day after LSG or hernia repair without delay. 6,9 Dependent on the urgency to restart adequate PD, the acute PD prescription can be adapted. Furthermore, to avoid early leakage, we underline the importance of the use of lower exchange volumes and low glucose solutions in a supine position to reduce the pressure on the recovering peritoneum.…”

“…While encouraging results about the continuation of PD after hernia repair were shared, [4][5][6] there are few reports on continuation of PD during LSG. [7][8][9] Recently, Nguyen et al described a patient 9 who restarted PD directly after the LSG without complications. They were the first to propose a potential regimen before, during and after surgery and advocate for the gradual increase of post-operative dialysate volumes.…”

Endometrioma Presented as Acute Abdomen in a Peritoneal Dialysis Patient: A Case Report and Literature Review

“… 12 Performing an open abdominal surgery in a patient on PD may also lead to the development of intra-abdominal adhesions and loss of peritoneal membrane integrity, leading to an inability to continue PD modality effectively. 13 Therefore, a laparoscopic approach is more advantageous as it involves minimal breaching of the abdominal wall, reduced abdominal adhesion, and a decreased risk for postoperative leakage of dialysate. Therefore, PD can be resumed in the postoperative period with less chance of fluid leakage or peritonitis than open abdominal surgery.…”

“…Several publications have recently demonstrated the immediate postoperative continuation of PD in laparoscopic gastric banding or bypass surgery. 13 PD recommencement can be achieved with a strict PD regimen of initiating low volume PD on day one after surgery. Gradual dialysate volume increment over the next few weeks is practiced until toleration of full volume of PD.…”

“…Gradual dialysate volume increment over the next few weeks is practiced until toleration of full volume of PD. 13 This is undoubtedly an option considered for similar cases in the future.…”