Bozena Pietrzak

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Sterile peritonitis after dialysis with the use of icodextrin-containing solution is a rare complication of peritoneal dialysis programme. On the basis of the case of hypersensitivity to icodextrin accompanied by peritonitis, the diagnostic problems were described and a review of literature on this complication is presented.
The intraperitoneal adhesions were imagined with 3 non-invasive methods such as scintigraphy, ultrasonography, computerised tomography in 25 patients (pts) on CAPD (13 females and 12 males, aged 8-72 years). Initial imaging of peritoneal cavity was performed up to 4 months after the start of CAPD and repeated every 6-12 months of further therapy. In 9(More)
In the prophylaxis of vision complications in patients with diabetic nephropathy (DN) treated with continuous ambulatory peritoneal dialysis (CAPD) achievement of the metabolic balance in the "protective" values against the progression of the vascular and vision complications is important. The limited access for ambulatory ophthalmological care in DN-CAPD(More)
Development of peritoneal dialysis treatment in the world as well as in Poland followed by prolongation of patients' survival calls for imaging of peritoneal cavity in the course of non-complicated programme as well as complicated CAPD programme. Retrospective analysis was performed of the clinical utility of peritoneal scintigraphy applied in our centre(More)
On the case of 37 old patient with diabetic nephropathy, treated with peritoneal dialysis since 12 months, actual problems of clinical and imaging diagnostics of abdominal hernias in continuous ambulatory peritoneal dialysis patients are presented. We paid special attention to the postoperative management and prophylaxis of abdominal hernia recurrences.
Ambulatory peritoneal dialysis need to be adopted to the changing population of patients with irreversible renal failure who require more and more nursing support in normal performance of dialysis procedure. Such possibility might be provided by introduction of supported or assisted by medical personal peritoneal dialysis in patient's home.
Peritonitis complicating peritoneal dialysis (PD) may represent a difficult diagnostic and therapeutic problem if it coexists with surgical pathology of intra-abdominal organs defined as "abdominal catastrophe". The illustration of this problem is the case of 70-year-old patient treated with automated PD, in whom recurrent episodes of peritonitis(More)
The Ad Hoc Advisory Committee on Peritonitis Management recommended in the year 2000 a new protocol of empirical peritonitis therapy in patients on peritoneal dialysis with preserved residual renal function (RRF). This protocol comprises 1st and 3rd generation cephalosporins. According to these recommendations the old protocol of therapy, comprising 1st(More)