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Catheter-related complications of continuous ambulatory peritoneal dialysis
1Department of Surgery, Veterans General Hospital-Kaohsiung, Taiwan, ROC.
Objective:
To assess the effectiveness of continuous ambulatory peritoneal dialysis (CAPD) with particular reference to morbidity.
Design:
Open study.
Setting:
Two city general hospitals.
Subjects:
104 Adults and 11 children with end stage renal failure.
Main Outcome Measure:
Morbidity.
Results:
There were 29 complications (25%), the most common being obstruction of the tube (n = 8, 7%), and migration of the tube (n = 7, 6%). Others were peritonitis (n = 5), haemorrhage (n = 4), infection at the exit site (n = 3), and leakage of fluid (n = 2). All were readily treatable.
Conclusions:
Fixing the catheter in two places may prevent its migration. The complication rate of CAPD is acceptable, and in children with end stage renal failure it is a suitable alternative to haemodialysis while they are waiting for renal transplantation.