title: Resolution of pleura-peritoneal fistula via transient daytime ambulatory peritoneal dialysis regime (DAPD) - 8 years follow up.
abstract: Pleural effusion or hydrothorax is a relatively rare but well-recognized complication associated with peritoneal dialysis (PD). We describe the successful long term resolution of a patient who developed pleural effusions after starting continuous ambulatory peritoneal dialysis (CAPD), by altering the PD prescription to normal volume daytime ambulatory peritoneal dialysis (DAPD) transiently before resuming the usual CAPD exchanges four months later. After 8 years of follow up, there is no sign of recurrence of the effusion. Normal volume DAPD present as an attractive alternative and cheap method for resolution of pleura-peritoneal fistula.
authors.affiliation: Thiam Seong Christopher Lim, Nephrology Unit, Department of Medicine, University Putra Malaysia, Serdang, Malaysia.
authors.forename: Thiam Seong Christopher
authors.initials: TS
authors.lastname: Lim
authors.affiliation: Kah Mean Thong, Department of Medicine, Ipoh Hospital, Perak, Malaysia.
authors.forename: Kah Mean
authors.initials: KM
authors.lastname: Thong
keywords: End stage renal failure; Peritoneal dialysis; Pleuro-peritoneal fistula