[Program of continuous ambulatory peritoneal dialysis and renal transplantation in insulin-dependent diabetics in the terminal stage of renal insufficiency].
A program of continuous ambulatory peritoneal dialysis (CAPD)-renal transplantation was set up on less than 55 years old insulin dependent diabetics with end stage renal failure. Ten patients were included (age range: 9-45 years, mean: 35.6). All these patients had many complications: retinopathy, arteritis, ischemic heart disease, hypertension, neuropathy, cutaneous infection. One patient refused CAPD and was hemodialyzed for 8 months before grafting. Nine patients were treated for 3 to 45 months (mean: 14.8). During CAPD therapy, better control of hypertension and blood glucose levels were achieved. Five patients received a cadaver renal transplant 3 to 27 months (mean: 13.3) after starting CAPD. All these transplants are functioning 12 to 62 months after grafting (mean: 26.4). No post-operative complications can be directly related to CAPD. No vascular complications occurred during post-transplant follow-up. So, an integrated program CAPD-renal transplantation could be of value for young insulin-dependent diabetics.
Mousson
C
C
Département de Néphrologie et Réanimation Métabolique, Hôpital du Bocage, Centre Hospitalier Universitaire, Dijon.
Tanter
Y
Y
Chalopin
J M
JM
Rifle
G
G
D000328:Adult; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery / Q000628:therapy*; D003928:Diabetic Nephropathies / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory
Programme "dialyse péritonéale continue ambulatoire--transplantation rénale" chez le diabétique insulino-dépendant au stade terminal de l'insuffisance rénale.