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Serum enzyme levels during initial peritoneal dialysis

K E Andersen

    International Urology and Nephrology
    |January 1, 1980
    PubMed
    Summary
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    Peritoneal dialysis catheter implantation and initiation do not elevate serum enzyme levels. Other interventions, like injections, may cause increases in creatine kinase and lactic dehydrogenase in renal failure patients.

    Area of Science:

    • Nephrology
    • Clinical Chemistry

    Background:

    • Patients with renal failure often require dialysis.
    • Peritoneal dialysis is a common renal replacement therapy.
    • Assessing the impact of dialysis procedures on serum enzyme levels is crucial for patient monitoring.

    Purpose of the Study:

    • To investigate the effect of permanent peritoneal dialysis catheter implantation and the initiation of dialysis on serum enzyme levels.
    • To differentiate between enzyme level changes caused by the dialysis procedure itself and those caused by additional medical interventions.

    Main Methods:

    • Serum samples were analyzed for creatine kinase (CK), aspartate aminotransferase (ASAT), alanine aminotransferase (ALAT), and lactic dehydrogenase (LDH).
    • Two groups of renal failure patients were studied: Group I (catheter implantation only) and Group II (catheter implantation plus injections/infusions).

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  • Enzyme levels were compared between the two groups at the initiation of peritoneal dialysis.

    • Main Results:

    • Serum CK levels were significantly elevated in Group II, attributed to injections or infusions.
    • Serum ASAT and ALAT levels remained within normal ranges for both groups.
    • Serum LDH levels were significantly higher in Group II, potentially due to the severity of renal disease.

    Conclusions:

    • The implantation of a permanent peritoneal dialysis catheter and the initiation of peritoneal dialysis do not inherently increase serum CK, ASAT, ALAT, or LDH concentrations.
    • Elevated enzyme levels in patients undergoing peritoneal dialysis may be linked to concurrent medical interventions or disease severity rather than the dialysis procedure itself.