Three daily exchanges on continuous ambulatory peritoneal dialysis. 8 months of treatment in 6 patients

After the first report by Popovich et al., continuous ambulatory peritoneal dialysis (CAPD) is widely becoming another challenge for end-stage renal disease (ESRD) treatment. Trials to confirm the first results in a longer follow-up are in course in many countries. In this paper we showed our experience with three daily exchanges in 6 patients treated for more than 8 months. This modification of the technique allows better compliance of the patient and reduces the cost of treatment. During this period of time, CAPD, three daily exchanges, was an adequate procedure for an unselected group of patients. In our experience, peritonitis episodes were the main complication. For this reason, 33% of the patients were switched to hemodialysis. The use of plastic bags and strict adherence to aseptic measures will improve the results.