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Current problems in continuous ambulatory peritoneal dialysis.

G Grant, M Lombard, B Keogh

    The Ulster Medical Journal
    |August 1, 1985
    PubMed
    Summary
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    Continuous ambulatory peritoneal dialysis offers an acceptable treatment for end-stage renal failure. Careful management minimizes complications, making it ideal for specific patient groups and those with diabetes before transplantation.

    Area of Science:

    • Nephrology
    • Internal Medicine

    Background:

    • End-stage renal failure (ESRF) necessitates renal replacement therapy.
    • Continuous ambulatory peritoneal dialysis (CAPD) has emerged as a viable treatment option.

    Purpose of the Study:

    • To evaluate the efficacy and suitability of CAPD for ESRF patients.
    • To highlight patient populations that benefit most from CAPD.

    Main Methods:

    • Review of clinical outcomes and patient management in CAPD.
    • Analysis of complication rates and their mitigation strategies.

    Main Results:

    • CAPD is an acceptable alternative treatment for ESRF despite challenges.
    • Many CAPD-related problems can be managed with meticulous care.

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  • CAPD is particularly beneficial for the elderly, pediatric patients, and those residing far from dialysis centers.
  • It is the preferred dialysis modality for diabetic patients awaiting kidney transplantation.

    • Conclusions:

    • Continuous ambulatory peritoneal dialysis is a well-established and effective treatment for end-stage renal failure.
    • Careful patient selection and management are key to successful CAPD outcomes.
    • CAPD offers significant advantages for specific patient demographics and those with diabetes mellitus.