title: Continuous ambulatory Peritoneal dialysis beyond a decade: cases from a single center.
abstract: A broad consensus has not been reached on the appropriate timing for cessation of peritoneal dialysis (PD). Decreasing urine volume, repeated and refractory peritonitis, and deterioration of the peritoneal membrane are major reasons to stop PD. Also, the link between length of time on PD and encapsulating peritoneal sclerosis (EPS) should be an additional concern. The aim of the present study was to investigate patients who had been on continuous ambulatory PD (CAPD) for a long time. All patients undergoing CAPD at our kidney center for more than a decade from January 1990 to September 2011 were included in the study. Among more than 436 CAPD patients, 11 met the inclusion criteria. Their mean PD duration was 12.3 +/- 3.1 years. Mean age at CAPD introduction had been 46.0 +/- 10.1 years. All patients had nondiabetic nephropathy as the underlying cause of their end-stage renal disease. At least 2 of the 11 had developed EPS, and 1 had subsequently died from EPS. Patients on prolonged CAPD for more than a decade are still rare. The CAPD modality may be continued if it is efficiently maintained within an acceptable level, but EPS remains a serious complication of prolonged PD.
authors: Department of Nephrology, Faculty of Medicine, Saitama Medical University, Saitama, Japan.
authors: Kanako
authors: K
authors: Nobe
authors: Tsutomu
authors: T
authors: Inoue
authors: Yuka
authors: Y
authors: Nodaira
authors: Yumi
authors: Y
authors: Kimura
authors: Mika
authors: M
authors: Okayama
authors: Shiko
authors: S
authors: Gen
authors: Takeru
authors: T
authors: Seto
authors: Keita
authors: K
authors: Sueyoshi
authors: Hiroshi
authors: H
authors: Takane
authors: Tsuneo
authors: T
authors: Takenaka
authors: Hirokazu
authors: H
authors: Okada
authors: Hiromichi
authors: H
authors: Suzuki
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D056627:Peritoneal Fibrosis / Q000209:etiology; D010538:Peritonitis / Q000209:etiology; D013997:Time Factors; D055815:Young Adult