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Peritoneal dialysis update 1994

K D Nolph1

  • 1Department of Internal Medicine, University of Missouri-Columbia, 65212, USA.

Journal of Postgraduate Medicine
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

Peritoneal dialysis advancements significantly reduce peritonitis rates, improving technique survival. New catheter designs and improved exit-site care enhance patient outcomes in peritoneal dialysis.

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Area of Science:

  • Nephrology
  • Renal Replacement Therapy

Background:

  • Peritoneal dialysis (PD) is a major renal replacement therapy with over 400 papers published annually.
  • Significant progress has been made in managing PD complications and improving patient outcomes.

Purpose of the Study:

  • To review recent advancements in peritoneal dialysis, focusing on key areas of investigation.
  • To provide an update on worldwide demographics, peritoneal transport, and treatment modalities.

Main Methods:

  • Review of recent literature on peritoneal dialysis.
  • Focus on peritonitis control, catheter technology, exit-site management, peritoneal transport, low-calcium solutions, EPO use, adequacy, nutrition, and CAPD vs. hemodialysis comparisons.

Main Results:

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  • Dramatic reduction in peritonitis rates (less than 1 episode per 24 patient months) using Y-set technology, leading to improved technique survival.
  • Advances in peritoneal access include new catheter designs (e.g., Swan-Neck Missouri, Moncrief-Popovich) and improved exit-site healing and infection management.
  • New findings in peritoneal transport, use of low-calcium solutions, erythropoietin (EPO) experiences, and evolving concepts of adequacy and nutrition.

    • Conclusions:

    • Recent advancements in peritoneal dialysis, particularly in peritonitis control and catheter technology, have significantly improved patient outcomes and technique survival.
    • Ongoing research in peritoneal transport, supportive therapies like EPO, and nutritional management continue to refine PD as a treatment option.
    • Comparative studies of continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis provide crucial data for treatment selection.