Brown-Cartwright D, Smith H J, Feldman M
Department of Internal Medicine, Dallas Veterans Administration Medical Center, Texas.
Gastroenterology. 1988 Jul;95(1):49-51. doi: 10.1016/0016-5085(88)90289-2.
Using radiopaque markers, we evaluated gastric emptying in 10 male patients with end-stage renal disease on continuous ambulatory peritoneal dialysis and in 15 normal men. Dialysis patients were studied twice, once without peritoneal dialysate in the abdomen (drained) and once with 2 L of dialysate in the abdomen (full). Each normal man and 9 of 10 dialysis patients, when drained, emptied all 10 markers by 6 h after a test meal. In contrast, 5 of the 10 dialysis patients, when full, had delayed emptying of radiopaque markers. Thus, continuous ambulatory dialysis may delay gastric emptying of indigestible solids.
我们使用不透X线的标志物，评估了10名接受持续性非卧床腹膜透析的终末期肾病男性患者以及15名正常男性的胃排空情况。对透析患者进行了两次研究，一次是腹腔内无腹膜透析液（引流后），一次是腹腔内有2升透析液（充满时）。在引流后，每名正常男性以及10名透析患者中的9人在试餐后6小时内排出了所有10个标志物。相比之下，10名透析患者中有5人在腹腔充满时出现不透X线标志物排空延迟。因此，持续性非卧床腹膜透析可能会延迟难消化固体的胃排空。
