Effect of oral intake of triglycerides on the peritoneal dialysates in a CAPD patient with diet-induced chyloperitoneum

In a CAPD patient with diet-induced chyloperitoneum, we studied the effect of oral intake of long-chain triglycerides (LCT) and medium-chain triglycerides (MCT) on the components of the peritoneal dialysates. After 6.5-48 hours, LCT induced milky ascites which were rich in triglycerides, chylomicron...

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Published inJournal of Japanese Society for Dialysis Therapy Vol. 24; no. 8; pp. 1069 - 1073
Main Authors Yamamoto, Mitsuhiro, Maekawa, Masanobu, Iwata, Hiroyuki, Umeda, Masaru, Toda, Yohko, Izumi, Nobuhide, Ohmachi, Tetsuji
Format Journal Article
LanguageJapanese
Published The Japanese Society for Dialysis Therapy 1991
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ISSN0911-5889
1884-6211
DOI10.4009/jsdt1985.24.1069

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Abstract In a CAPD patient with diet-induced chyloperitoneum, we studied the effect of oral intake of long-chain triglycerides (LCT) and medium-chain triglycerides (MCT) on the components of the peritoneal dialysates. After 6.5-48 hours, LCT induced milky ascites which were rich in triglycerides, chylomicrons and total lipids. However, LCT did not induced the milky appearance. The oral intake of LCT appeared to be an important factor which causes milky ascites in our patient.
AbstractList In a CAPD patient with diet-induced chyloperitoneum, we studied the effect of oral intake of long-chain triglycerides (LCT) and medium-chain triglycerides (MCT) on the components of the peritoneal dialysates. After 6.5-48 hours, LCT induced milky ascites which were rich in triglycerides, chylomicrons and total lipids. However, LCT did not induced the milky appearance. The oral intake of LCT appeared to be an important factor which causes milky ascites in our patient.
Author Izumi, Nobuhide
Ohmachi, Tetsuji
Maekawa, Masanobu
Umeda, Masaru
Yamamoto, Mitsuhiro
Toda, Yohko
Iwata, Hiroyuki
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  fullname: Yamamoto, Mitsuhiro
  organization: Department of Hemodialysis, Tadaoka Municipal Hospital
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  fullname: Maekawa, Masanobu
  organization: Department of Urology, Osaka City University Medical School
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  fullname: Iwata, Hiroyuki
  organization: Department of Urology, Osaka City University Medical School
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  fullname: Umeda, Masaru
  organization: Department of Hemodialysis, Tadaoka Municipal Hospital
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  fullname: Toda, Yohko
  organization: Department of Hemodialysis, Tadaoka Municipal Hospital
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  fullname: Izumi, Nobuhide
  organization: Department of Hemodialysis, Tadaoka Municipal Hospital
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  fullname: Ohmachi, Tetsuji
  organization: Department of Hemodialysis, Tadaoka Municipal Hospital
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References 4) Pomeranz A, Reichenberg Y, Schurr P, Drukker A: Chyloperitoneum: A rare complication of peritoneal dialysis, Pent Dial Bull 4: 35-37, 1984
5) Humayun HM, Dangirdas JT, Ing TS, Leehey DJ, Gandhi VC, Popli S: Chylous ascites in a patient treated with intermittent peritoneal dialysis. Artif Organs 8: 358-361, 1984
9) 梅田 優, 上川禎則, 戸田洋子, 泉 暢英, 安本亮二, 前川正信: CAPD患者の食事性排液混濁について. 透析会誌 23: 987-992, 1990
3) Goldfarb JP: Chylous effusions secondary to pancreatites: Case report and review of the literature. Am J Gastroenterol 79: 133-135, 1984
2) Bigley HA Jr, Chenault OW Jr: Chylous ascites following retroperitoneal lymphadenectomy. J Urol 114: 948-951, 1975
10) 梅田 優, 上川禎則, 泉 暢英, 戸田洋子, 安本亮二, 前川正信: CAPD患者の排液混濁: 食事性カイロペリトネウムの概念と脂肪負荷の意義. 腎不全 2: 193-107, 1999
11) Hashim SA, Roholt HB, Babayan VK, Van Itallie TB: Treatment of chyluria and chylothorax with medium-chain triglycerides. N Engl J Med 270: 756-761, 1964
12) Weinstain LD, Scanlon GT, Hersh T: Chylous ascites: Management with medium-chain triglycerides and exacerbation by lymphangiography. Am J Digest Dis 14: 500-509, 1969
8) Augustin R, Kuhlmann V, Kummler CH: Chylusbeimengung: Eine nicht lurch Peritonitis bedingte Dialysattung bei der CAPD-Behandlung. Schweiz Rundsch Med Prax 73: 437-439, 1984
6) Roodfooft AM, Van Acker KJ, De Broe ME: Chylous peritonitis: An infrequent complication of peritoneal dialysis, Pent Dial Bull 7: 195-196, 1987
1) Nix JT, Albert M, Dugas JE: Chylothorax and chylous ascites: A study of 302 selected cases. Am J Gastroenterol 28: 1-40, 1957
7) De Paula A, Jimeno A, Largo ME: Ascites quilosa: una rara complication de la dialysis peritoneal. Rev Clin Esp 139: 333-338, 1975
References_xml – reference: 9) 梅田 優, 上川禎則, 戸田洋子, 泉 暢英, 安本亮二, 前川正信: CAPD患者の食事性排液混濁について. 透析会誌 23: 987-992, 1990
– reference: 11) Hashim SA, Roholt HB, Babayan VK, Van Itallie TB: Treatment of chyluria and chylothorax with medium-chain triglycerides. N Engl J Med 270: 756-761, 1964
– reference: 10) 梅田 優, 上川禎則, 泉 暢英, 戸田洋子, 安本亮二, 前川正信: CAPD患者の排液混濁: 食事性カイロペリトネウムの概念と脂肪負荷の意義. 腎不全 2: 193-107, 1999
– reference: 2) Bigley HA Jr, Chenault OW Jr: Chylous ascites following retroperitoneal lymphadenectomy. J Urol 114: 948-951, 1975
– reference: 6) Roodfooft AM, Van Acker KJ, De Broe ME: Chylous peritonitis: An infrequent complication of peritoneal dialysis, Pent Dial Bull 7: 195-196, 1987
– reference: 8) Augustin R, Kuhlmann V, Kummler CH: Chylusbeimengung: Eine nicht lurch Peritonitis bedingte Dialysattung bei der CAPD-Behandlung. Schweiz Rundsch Med Prax 73: 437-439, 1984
– reference: 7) De Paula A, Jimeno A, Largo ME: Ascites quilosa: una rara complication de la dialysis peritoneal. Rev Clin Esp 139: 333-338, 1975
– reference: 3) Goldfarb JP: Chylous effusions secondary to pancreatites: Case report and review of the literature. Am J Gastroenterol 79: 133-135, 1984
– reference: 5) Humayun HM, Dangirdas JT, Ing TS, Leehey DJ, Gandhi VC, Popli S: Chylous ascites in a patient treated with intermittent peritoneal dialysis. Artif Organs 8: 358-361, 1984
– reference: 12) Weinstain LD, Scanlon GT, Hersh T: Chylous ascites: Management with medium-chain triglycerides and exacerbation by lymphangiography. Am J Digest Dis 14: 500-509, 1969
– reference: 1) Nix JT, Albert M, Dugas JE: Chylothorax and chylous ascites: A study of 302 selected cases. Am J Gastroenterol 28: 1-40, 1957
– reference: 4) Pomeranz A, Reichenberg Y, Schurr P, Drukker A: Chyloperitoneum: A rare complication of peritoneal dialysis, Pent Dial Bull 4: 35-37, 1984
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Snippet In a CAPD patient with diet-induced chyloperitoneum, we studied the effect of oral intake of long-chain triglycerides (LCT) and medium-chain triglycerides...
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SubjectTerms CAPD
LCT
MCT
Title Effect of oral intake of triglycerides on the peritoneal dialysates in a CAPD patient with diet-induced chyloperitoneum
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