All issues > Volume 30(5); 1987

Case Report

J Korean Pediatr Soc. 1987;30(5):560-568. Published online May 31, 1987.

A Clinical Experience of Continuous Ambulatory Peritoneal Dialysis in Child.

Heon Seob Song¹, Byung Sook Park¹, Kyung Jin Shin¹, Beyong Sang Choi¹, Dae Yeol Lee¹

¹Department of Pediatrics, Chonbuk National University College of Medicine

Abstract

Although it is generally accepted that renal transplantation provides the optimal therapy for children with endstage renal disease (ESRD), there is still uncertainty regarding the most suitable form of dialysis for children awaiting transplantation or for chronic therapy in children in whom transplantation is either not possible or unsuccessful. The therapeutic results of chronic maintenance hemodialysis in children with ESRD have been unsatisfactory because of poor tolerance of the procedure, complications of the intermittent nature of the dialysis, and insufficient growth. Trials of continuous ambulatory peritoneal dialysis in pediatric age have been increased with significant therapeutic advantages for children with ESRD. Continuous ambulatory peritoneal dialysis was performed in 10 year old male patient with ESRD. Foil wing results were obtained: 1) The values of blood urea nitrogen and serum creatinine were maintained 60 ±15 mg/dl and 5.5 ±2.0 mg/dl respectively during continuous ambulatory peritoneal dialysis. 2) Reversed serum calcium and phosphorus values were normalized progressively. 3) Serum electrolytes (Na+, K+) were maintained in normal range without limitation of diet and general condition was relatively good. 4) The values of plasma renin activity were slightly elevated with 13.75 ngAI • ml-1 • hr-1 of left renal vein and 12.50 ngAI • ml-1 • hr-1 of right renal vein. 5) The ranges of hemoglobin and serum total protein were 5 〜8 gm/dl and 4.3 ±0.5 gm/dl respectively. 6) Peritonitis was occurred on 18th day of CAPD and clinical findings and color of dialysate were impoved within 3 days after administration of antibiotics on dialysate. Above results suggest that CAPD can be effectively used in children with ESRD awaiting transplan- tation or whom transplantation is either not possible or unsuccessful.

Keywords :Continuous ambulatory peritoneal dialysis; Endstage renal disease