[The present and future of continuous ambulatory peritoneal dialysis (CAPD)]

In order to establish an idea of the future of continuous ambulatory peritoneal dialysis, it is necessary to know the present application of this method, which if it used for a greater number of patients each time, it is performed occasionally with deficient resources and on patients nor selected properly. A possible solution is a very well established peritoneal dialysis program which can "support" an active renal transplant program. It would be interesting to make a prospective and aleatory study between peritoneal dialysis and hemodialysis. It is required to improve: the disconnecting system to the peritoneal catheter, the subcutaneous implantation method, to use the adequacy of the dialysis concept, to design methods to favor the duration and durability of the human peritoneum and look deeply into the opportune and correct treatment of peritonitis and to increase the automatic peritoneal dialysis systems. In the future of peritoneal dialysis we cannot overlook looking deeply into the peritoneum cellular biology in order to use the peritoneum taking into consideration the biology of its cells. DPCA has a bright future and it should play a more important role in the treatment of uremia.