| A clinical study of continuous ambulatory peritoneal dialysis in childhood. |
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Tae Sun Ha, Hye Won Park, Ja Wook Koo, In Seok Lim, Hae Il Cheong, Yong Choi, Kwang Wook Ko |
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Department of Pediatrics, Seoul National University College of Medicin, Seoul, Korea |
| 소아에서의 지속성 외래 복막투석 |
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하태선, 박혜원, 구자욱, 임인석, 정해일, 최용, 고광욱 |
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서울대학교 의과대학 소아과학교실 |
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Received: 29 September 1990 • Accepted: 9 November 1990 |
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| Abstract |
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A retrospective analysis of clinical with findings in 24 children continuous ambulatory peritoneal
dialysis (CAPD) who were admitted to the Department of Pediatrics, Seoul National University
Children’s Hospital from March, 1987 till August, 1990 was performed and the results were as follows;
1) The male to female ratio was 16:8, and the age distribution at the beginning of CAPD was from
59 days to 16.5 years with the mean age of 9.3 years
2) The mean duration from the diagnosis of ESRD to the beginning of CAPD was 7.5 months and
the mean duration of CAPD was 11.4 moths.
3) Of 24 patients, 14 had traceable etiologies. 5 of them had reflux nephropathy.
4) During 170.6 patients-months of total follow-up in 14 patients, transfusion was needed every
3.2 patients-months.
5) Of the 17 patients received CAPD, the control of blood pressure was satisfactory in 10 patients.
6) Of the prepubertal 8 patients during CAPD, normal growth rate was found in 50%.
7) Among the complications during CAPD, peritonitis was the most common. Peritonitis occurred
average every 4.8 patients-months, and the major causative agents were Staphylococcus and Serratia.
8) The mean survival time of the CAPD catheter was 9.2 months and the major causes of removal
were peritonitis and obstruction.
9) Among 24 children, 5 expired, 2 lost to follow up, 5 received renal transplantation, 4 switched to
HD, and remaining 8 maintained CAPD.
In conclusion, CAPD in children with ESRD can be used as one of the satisfactory renal replacement
therapies. However, the advantages particularly in children, such as possible normal growth rate,
should be further studied and additional measures must be developed to reduce problems associated
with CAPD, such as frequent peritonitis. |
| Key Words:
End-stage renal disease, Continuous ambulatory peritoneal dialysis, Children |
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