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[Continuous ambulatory peritoneal dialysis in children. 2 years' experience]
Schweizerische Medizinische Wochenschrift
|June 12, 1982
Summary
Continuous ambulatory peritoneal dialysis (CAPD) is a viable treatment for pediatric patients with kidney failure, showing good rehabilitation and uremia control. However, complications like peritonitis and technical issues require careful management and further study for long-term efficacy.
Area of Science:
- Nephrology
- Pediatric Dialysis
Context:
- Continuous ambulatory peritoneal dialysis (CAPD) is an alternative treatment for pediatric end-stage renal disease.
- This study evaluates CAPD in a small cohort of children and adolescents over a 39-month period.
Purpose:
- To assess the efficacy, safety, and patient outcomes of CAPD in pediatric patients.
- To identify complications and challenges associated with CAPD in this population.
Summary:
- Five pediatric patients (6-17 years) underwent CAPD for 4-14 months.
- Uremia and fluid balance were well-controlled with minimal dietary restrictions.
- Complications included bacterial peritonitis (6 episodes), cuff erosion (3), and catheter issues (2).
- Protein loss was observed, particularly in a child with sterile peritonitis.
- Statural growth was unsatisfactory in two patients on CAPD for over 9 months.
- CAPD was terminated in three patients due to renal transplantation and one due to recovery of renal function.
Impact:
- CAPD demonstrates potential as an alternative to hemodialysis for selected pediatric patients.
- Careful monitoring and management are crucial to address complications.
- Specialized pediatric centers should guide the choice between CAPD and hemodialysis.
- Long-term outcomes and growth require further investigation.