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Continuous ambulatory peritoneal dialysis in children.
E I Rfidah1, D G Gill, T Ni Dhomhnaill
1Children's Hospital, Dublin.
Irish Medical Journal
|September 1, 1992
Summary
Continuous ambulatory peritoneal dialysis (CAPD) effectively supports growth and blood pressure control in children with end-stage renal failure (ESRF). While peritonitis and catheter issues are common, CAPD offers a viable treatment option, with many patients proceeding to renal transplantation.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Dialysis Techniques
Background:
- End-stage renal failure (ESRF) presents significant challenges in pediatric patients.
- Continuous ambulatory peritoneal dialysis (CAPD) is an established treatment modality for ESRF.
Purpose of the Study:
- To evaluate the efficacy and complications of CAPD in a cohort of children with ESRF.
- To assess growth, blood pressure control, and treatment outcomes in pediatric CAPD patients.
Main Methods:
- Retrospective analysis of 15 children with ESRF treated with CAPD.
- Data collected on treatment duration, growth, blood pressure, complications (peritonitis, catheter issues), and renal transplantation rates.
Main Results:
- Children experienced good growth (0.59 cm/month) and satisfactory blood pressure control during CAPD.
- The overall peritonitis rate was 1 episode per 3.2 treatment months, with two children experiencing high frequencies.
- Catheter replacement was required every 15 treatment months, and 12 out of 15 children proceeded to renal transplantation.
Conclusions:
- CAPD is a feasible treatment for pediatric ESRF, promoting adequate growth and blood pressure management.
- Peritonitis and catheter-related complications require careful monitoring and management.
- Successful renal transplantation rates highlight CAPD as a bridge therapy for pediatric ESRF.