[Long term continuous ambulatory peritoneal dialysis: results and limits].
Retrospective studies of CAPD show a 50% patient survival at 5 years. There are actually three long term technique limits: UF failure: The diagnosis is made clinically and by peritoneal permeability tests. The use of new osmotic agents should improve this problem. Inadequate dialysis seems more related to the low dialysate flow rather than to the peritoneal membrane. The increase of dialysate volumes or the switch to Automated PD leads to better clearances. The peritoneal membrane lesions are generated by the use of an aggressive dialysate. In order to protect the membrane, new biocompatible solutions are under evaluation.
Faller
B
B
Service de néphrologie, Hôpitaux Civils, Colmar.
Genestier
S
S
Brignon
P
P
Boess
B
B
D000328:Adult; D000368:Aged; D015314:Dialysis Solutions / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D010530:Peritoneal Dialysis; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010532:Peritoneal Diseases / Q000139:chemically induced; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome; D014462:Ultrafiltration
D015314:Dialysis Solutions