All issues > Volume 34(3); 1991

Original Article

J Korean Pediatr Soc. 1991;34(3):363-370. Published online March 31, 1991.

A clinical study of continuous ambulatory peritoneal dialysis in childhood.

Tae Sun Ha¹, Hye Won Park¹, Ja Wook Koo¹, In Seok Lim¹, Hae Il Cheong¹, Yong Choi¹, Kwang Wook Ko¹

¹Department of Pediatrics, Seoul National University College of Medicin, Seoul, Korea

Received: September 29, 1990;  Accepted: November 9, 1990.

Abstract

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.

Keywords :End-stage renal disease;Continuous ambulatory peritoneal dialysis;Children