The Role of Hyperlipidemia in the Etiology of Pancreatitis in CAPD

Sir: We read with interest the report by Flynn et al ( I) of acute pancreatitis complicating CAPD without associated peritonitis; in this paper they suggested a causal relationship. We wish to report a patient who, while on CAPD, had eight episodes of pancreatitis uncomplicated by peritonitis. Each attack settled down with conservative management while he continued CAPD .We wish to suggest a quite different pathogenesis for pancreatitis during CAPD, which is independent of the dialysis technique.