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Original InvestigationsDialysis

Utility of Peritoneal Scintigraphy in Peritoneal Dialysis Patients: One Center Experience

R. Haridian Sosa Barrios, María Eugenia Rioja Martín, Víctor Burguera Vion, Astrid Lucía Santos Carreño, Milagros Fernández Lucas and Maite E. Rivera Gorrín
Kidney360 May 2020, 1 (5) 354-358; DOI: https://doi.org/10.34067/KID.0000302020
R. Haridian Sosa Barrios
1Nephrology Department, Ramón y Cajal University Hospital, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
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  • ORCID record for R. Haridian Sosa Barrios
María Eugenia Rioja Martín
2Nuclear Medicine Department, Ramón y Cajal University Hospital, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
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Víctor Burguera Vion
1Nephrology Department, Ramón y Cajal University Hospital, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
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Astrid Lucía Santos Carreño
2Nuclear Medicine Department, Ramón y Cajal University Hospital, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
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Milagros Fernández Lucas
1Nephrology Department, Ramón y Cajal University Hospital, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
3Department of Medicine, University of Alcalá (UAH), Madrid, Spain
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Maite E. Rivera Gorrín
1Nephrology Department, Ramón y Cajal University Hospital, Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
3Department of Medicine, University of Alcalá (UAH), Madrid, Spain
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  • Figure 1.
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    Figure 1.

    Peritoneal scintigraphy showing tracer activity in abdomen and right lung area (arrow).

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    Figure 2.

    Peritoneal scintigraphy showing tracer at the abdominal and genital level, confirming a genital leak (arrows).

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    Figure 3.

    Peritoneal scintigraphy showing tracer at the pericatheter level (arrow).

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    Table 1.

    characteristics of patients in our case series (n=36)

    CharacteristicsMeasure
    Sex (% male)81
    Age (yr)a57.07±15.5
    DM (%)28
    BMI >30 kg/m2 (%)31
    PC inserted by (% nephrologists)69
    • DM, diabetes mellitus; BMI, body mass index; PC, peritoneal catheter.

    • ↵a Mean±SD.

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    Table 2.

    Clinical suspicion and peritoneal scintigraphy results

    Suspected LeakTotal Tested (n)Peritoneal Scintigraphy Result (n)
    PositiveNegative
    Pleural15510
    Pleural and genital2—2
    External genitals88—
    Genital and abdominal wall33—
    Abdominal wall844
    Pericatheter33—
    Total392316
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    Table 3.

    Further tests in patients with negative peritoneal scintigraphy results (several tests per patient)

    Suspected LeakNegative PS (n)CT (n)US (n)X-ray (n)Thoracocentesis (n)
    Pleural109—107
    Pleural and genital22—1—
    External genitals2211—
    Abdominal wall3a12——
    • PS, peritoneal scintigraphy; CT, computed tomography; US, ultrasound.

    • ↵a One patient not studied as had sudden cardiac death.

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    Table 4.

    Case series of peritoneal scintigraphy in peritoneal dialysis leaks

    Case SeriesYear PublishedPS (n)Patients (n)Cohort on PD (during study period) (n)Study Period (n)Leak Suspicion (n)Positive PS (n)Incidence (%)
    Juergensen et al. (16)19995048204 per yr1991–199634 patients165
    Tokmak et al. (20)20061717—2000–20041375
    This study202039363442000–201836236
    • PS, peritoneal scintigraphy; PD, peritoneal dialysis.

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Utility of Peritoneal Scintigraphy in Peritoneal Dialysis Patients: One Center Experience
R. Haridian Sosa Barrios, María Eugenia Rioja Martín, Víctor Burguera Vion, Astrid Lucía Santos Carreño, Milagros Fernández Lucas, Maite E. Rivera Gorrín
Kidney360 May 2020, 1 (5) 354-358; DOI: 10.34067/KID.0000302020

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Utility of Peritoneal Scintigraphy in Peritoneal Dialysis Patients: One Center Experience
R. Haridian Sosa Barrios, María Eugenia Rioja Martín, Víctor Burguera Vion, Astrid Lucía Santos Carreño, Milagros Fernández Lucas, Maite E. Rivera Gorrín
Kidney360 May 2020, 1 (5) 354-358; DOI: 10.34067/KID.0000302020
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Keywords

  • clinical nephrology
  • dialysate leak
  • imaging test
  • peritoneal dialysis
  • renal replacement therapy
  • scintigraphy

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