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Continuous ambulatory Peritoneal dialysis beyond a decade: cases from a single center
Kanako Nobe1, Tsutomu Inoue, Yuka Nodaira
1Department of Nephrology, Faculty of Medicine, Saitama Medical University, Saitama, Japan.
Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|January 15, 2013
Summary
Long-term continuous ambulatory peritoneal dialysis (CAPD) is rare but possible. Encapsulating peritoneal sclerosis (EPS) remains a serious risk for patients on CAPD for over a decade.
Area of Science:
- Nephrology
- Internal Medicine
- Dialysis
Background:
- Appropriate timing for peritoneal dialysis (PD) cessation lacks consensus.
- Reasons to stop PD include declining urine output, recurrent peritonitis, and peritoneal membrane deterioration.
- Encapsulating peritoneal sclerosis (EPS) is a concern with prolonged PD treatment.
Purpose of the Study:
- To investigate outcomes of patients on long-term continuous ambulatory peritoneal dialysis (CAPD).
Main Methods:
- Study included CAPD patients at a single kidney center from January 1990 to September 2011, with over a decade of treatment.
- 11 patients met inclusion criteria.
Main Results:
- Mean PD duration was 12.3 +/- 3.1 years.
- All patients had nondiabetic nephropathy.
- Two patients developed EPS, with one fatality due to EPS.
Conclusions:
- Prolonged CAPD exceeding a decade is uncommon.
- CAPD can be continued effectively if well-managed.
- EPS is a significant complication of extended PD therapy.
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