1,436 results match your criteria Advances in Peritoneal Dialysis[Journal]


Treatment of a Dialysate Leak by Simultaneous Catheter Removal and Replacement in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis.

Adv Perit Dial 2018 Nov;34(2018):64-66

From: Department of Nephrology, Medical Faculty, Dumlupinar University, Kutahya, Turkey.

Continuous ambulatory peritoneal dialysis (PD) is one of the treatment methods used for end-stage renal failure. When mechanical complications occur with this treatment method, methods such as tomographic peritoneography, abdominal scintigraphy, and magnetic resonance peritoneography are used to uncover the problem. Here, we report the detection by tomographic peritoneography of a subcutaneous dialysate leak in a patient undergoing PD. Read More

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November 2018
3 Reads

A Rare Complication During Percutaneous Peritoneal Dialysis Catheter Insertion: Intravesical Placement.

Adv Perit Dial 2018 Nov;34(2018):61-63

Department of Nephrology, Medical Faculty, Dumlupinar University, Kutahya, Turkey.

Peritoneal dialysis (PD) is one of the treatment options for patients with end-stage renal failure. To start PD treatment, a catheter must be placed for access to the abdominal cavity, and it can be placed using surgical, laparoscopic, or percutaneous methods. However, complications can develop during catheter placement. Read More

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November 2018
3 Reads

Is It Safe to Initiate Peritoneal Dialysis Treatment Immediately After Percutaneous Catheter Placement?

Authors:
Erim Gülcan

Adv Perit Dial 2018 Nov;34(2018):58-60

From: Dumlupinar University School of Medicine, Department of Nephrology, Kutahya, Turkey.

In this retrospective study, the safety of initiating peritoneal dialysis (PD) immediately after percutaneous PD catheter insertion was evaluated. Patients who underwent peritoneal catheter insertion and then immediately began dialysis treatment were included in the study. Patient age, sex, treatment modalities, and method of catheter insertion were recorded. Read More

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November 2018
18 Reads

Better Healing of the Exit Site with Negative-Pressure Wound Therapy.

Adv Perit Dial 2018 Nov;34(2018):53-57

Division of Nephrology, Endocrinology, and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Exit-site infection poses a risk for peritonitis and can shorten peritoneal dialysis (PD) vintage. A loose fit of the skin around the catheter at the exit site can push bacteria surrounding the catheter into the subcutaneous tunnel. Negative-pressure wound therapy (NPWT) has been used to hasten healing of the wound after an operation or to treat pressure ulcers. Read More

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November 2018
11 Reads

When Love Hurts, It Leaves No Options! An Unusual Case of Pasteurella Peritoneal Dialysis Peritonitis Causing Severe Intra-abdominal Adhesions Preventing a Future Peritoneal Dialysis Option.

Adv Perit Dial 2018 Nov;34(2018):50-52

From: University of Missouri, Division of Nephrology, Columbia, Missouri, U.S.A.

A 67-year-old white man with a history of end-stage renal disease receiving peritoneal dialysis (PD) presented with acute onset of vomiting, chills, and abdominal pain. He was diagnosed with PD-associated peritonitis secondary to Pasteurella. After failure of 3 weeks of antibiotic treatment, catheter loss occurred. Read More

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November 2018
7 Reads

Neisseria mucosa Peritonitis in the Setting of a Migrated Intrauterine Device.

Adv Perit Dial 2018 Nov;34(2018):47-49

Division of Nephrology, University of Texas Southwestern, Dallas, Texas, U.S.A.

Peritonitis is a major complication in peritoneal dialysis (PD) patients, often requiring a switch to hemodialysis (HD). Common sources of bacterial peritonitis are touch contamination and PD catheter-related infection. Intra-abdominal pathology is a less common cause of peritonitis in PD patients, and rarely is Neisseria mucosa the causative organism. Read More

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November 2018
14 Reads

A Case in Which Renal Function and Peritoneal Function Were Maintained for Ten Years by Proactive Combination Therapy with Peritoneal Dialysis and Hemodialysis.

Adv Perit Dial 2018 Nov;34(2018):42-46

Department of Nephrology, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.

To avoid loss of residual renal function (RRF) and to enhance solute clearance, we sometimes, from the initiation of peritoneal dialysis (PD) therapy, combine PD with hemodialysis (HD) that removes little or no fluid. In one typical valuable case, a 51-year-old woman with diabetic nephropathy who selected combined PD and HD therapy as her first dialysis method has continued on that therapy for 10 years. Her dialysis schedule consists of 5 PD days and 1 HD day without fluid removal weekly. Read More

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November 2018
1 Read

Experience Managing Adult Patients on Continuous Ambulatory Peritoneal Dialysis in Bangladesh.

Adv Perit Dial 2018 Nov;34(2018):38-41

Department of Nephrology, BIRDEM Hospital, Shahbag, Bangladesh.

Continuous ambulatory peritoneal dialysis (CAPD) is becoming increasingly known to the patients of Bangladesh, and patient numbers are increasing. Here, we report our experience and clinical outcomes in this field.Our analysis included all CAPD patients managed in a tertiary care hospital in Bangladesh between 2003 and 2015. Read More

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November 2018
12 Reads

Telehealth in Peritoneal Dialysis: Review of Patient Management.

Authors:
Susie Q Lew

Adv Perit Dial 2018 Nov;34(2018):32-37

From: Department of Medicine, George Washington University, Washington, DC, U.S.A.

Telehealth encompasses a broad variety of technologies and tactics to deliver virtual medical, health, and education services. Telemedicine is the use of electronic communications for the exchange of medical information from one site to another to improve a patient's clinical health status.Several studies show that, by providing better patient oversight and communication, telehealth in PD enhances patient care, outcomes, quality of care, and satisfaction. Read More

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November 2018
1 Read

Accuracy of a Newly-Introduced Oscillometric Device for the Estimation of Arterial Stiffness Indices in Patients on Peritoneal Dialysis: A Preliminary Validation Study.

Adv Perit Dial 2018 Nov;34(2018):24-31

Aristotle University of Thessaloniki, 1st Department of Internal Medicine, AHEPA Hospital, Peritoneal Dialysis Unit, Thessaloniki, Greece.

The aim of the present study was to compare the aortic systolic blood pressure (aSBP), heart-rate-adjusted augmentation index (AIx), and pulse wave velocity (PWV) obtained using the Mobil-O-Graph (IEM, Stolberg, Germany) and SphygmoCor (AtCor, Sydney, Australia) devices in patients receiving peritoneal dialysis (PD).After a 10-minute rest in the supine position, the Mobil-O-Graph and SphygmoCor devices were applied in randomized order in 27 consecutive PD patients. The agreement between the measurements produced by the Mobil-O-Graph and SphygmoCor devices was explored using Bland-Altman analysis. Read More

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November 2018
2 Reads

Prevention of Peritoneal Dialysis Drop-Out.

Adv Perit Dial 2018 Nov;34(2018):19-23

From: Division of Hypertension and Renal Diseases, University of Colorado-Denver, Aurora, Colorado, U.S.A.

Compared with hemodialysis (HD), peritoneal dialysis (PD) is associated with reduced cost and improved quality of life. But despite those benefits, PD represents a small percentage of the renal replacement therapy performed. Although a number of factors contribute to that situation, peritoneal drop-out is a complex issue that leads to as much as a 35% annual transition from PD to in-center HD. Read More

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November 2018
21 Reads

Comparison of Various Scaling Parameters and Energy Expenditure in Peritoneal Dialysis Patients.

Authors:
Andrew Davenport

Adv Perit Dial 2018 Nov;34(2018):15-18

From: UCL Centre for Nephrology, Royal Free Hospital, University College London Medical School, London, U.K.

Peritoneal dialysis (PD) dosing is determined by urea clearance scaled to total body water (TBW). However, studies delivering greater peritoneal Kt/V urea have failed to demonstrate improved survival. Body surface area (BSA) has been suggested as an alternative scaling factor. Read More

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November 2018
7 Reads

Maintaining Peritoneal Dialysis Adequacy: The Process of Incremental Prescription.

Authors:
Susie Q Lew

Adv Perit Dial 2018 Nov;34(2018):10-14

From: Department of Medicine, George Washington University, Washington, DC, U.S.A.

Urea kinetics (weekly Kt/V) greater than 1.7 generally define adequate peritoneal dialysis (PD). Adequacy of PD depends on residual renal function and PD clearance. Read More

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November 2018
8 Reads

Changes in Peritoneal Transport and Peritoneal Damage in Japanese Patients Undergoing Peritoneal Dialysis Using Neutral-pH Dialysate: A Retrospective Cohort Study at Two Centers.

Adv Perit Dial 2018 Nov;34(2018):5-9

Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

The effects of medium- or long-term use of neutral-pH dialysate on peritoneal transport and peritoneal damage have not been sufficiently researched.We retrospectively evaluated time-dependent changes in the dialysate-to-plasma ratio of creatinine (D/P Cr) and biomarkers of peritoneal damage in the effluent of 65 patients who underwent peritoneal dialysis (PD) with neutral-pH dialysate, including 48 who underwent medium-term PD (≥3 years) and 17 who underwent long-term PD (≥5 years).Patients who underwent medium-term PD initially had a D/P Cr of 0. Read More

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November 2018
2 Reads

Erratum.

Authors:

Adv Perit Dial 2017 Jan;33(2017):84

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January 2017
6 Reads

Renastart Use in an Infant on Peritoneal Dialysis.

Authors:
Lisa G Keung

Adv Perit Dial 2017 Jan;33(2017):79-83

UCSF Benioff Children's Hospital, San Francisco, California, U.S.A.

Adequate nutrition and growth is vital in pediatrics. Breast milk alone might not be able to satisfy the nutrition needs of an infant with renal disease. Similac PM 60/40 (Abbott Laboratories, Abbott Park, IL, U. Read More

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January 2017
4 Reads

Combination Therapy with Peritoneal Dialysis and Hemodialysis from the Initiation of Renal Replacement Therapy Preserves Residual Renal Function and Serum Albumin.

Adv Perit Dial 2017 Jan;33(2017):74-78

Department of Internal Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Peritoneal dialysis (PD) and hemodialysis (HD) combination therapy is considered for the improvement of ultrafiltration failure and uremic symptoms in PD patients with loss of residual renal function (RRF). However, a rapid decline in RRF is one of the critical drawbacks to such therapy. In contrast, we started patients on combination therapy as a proactive option at the initiation of dialysis. Read More

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January 2017
9 Reads

Predictive Factors for Withdrawal from Peritoneal Dialysis: A Retrospective Cohort Study at Two Centers in Japan.

Adv Perit Dial 2017 Jan;33(2017):68-73

Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Peritoneal dialysis (PD) is recognized as an excellent method of dialysis because the therapy is gentle, continuous, and cost-effective. However, a large number of patients must unfortunately transfer from PD to hemodialysis because of peritonitis or fluid overload in the early phase after PD initiation. In the present study, we reviewed clinical indicators before PD initiation to try to identify predictive factors for early withdrawal from PD. Read More

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January 2017
5 Reads

Pilot Study: Improving Patient Outcomes with Healing Touch.

Adv Perit Dial 2017 Jan;33(2017):65-67

Fresenius Baton Rouge Home Program, Baton Rouge, Louisiana, U.S.A.

Healing Touch therapies use a practitioner's intentional placement of hands to influence the patient's energy fields to promote self-healing. In the changing climate of health care, in which the patient experience increasingly drives reimbursements, it is vital to find unique and meaningful ways beyond traditional medical therapies to ensure positive patient experiences. To that end, our peritoneal dialysis clinic staff adopted Jean Watson's theoretical framework, by which patients are treated as whole unique individuals with a "multidimensional system of energy, with a consciousness that can be affected by another to promote well-being. Read More

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January 2017
5 Reads

Continuous Ambulatory Peritoneal Dialysis and Automated Peritoneal Dialysis: What, Who, Why, and How? Review and Case Study.

Adv Perit Dial 2017 Jan;33(2017):59-64

Division of Nephrology, University of Missouri-Columbia, Columbia, Missouri, U.S.A.

Peritoneal dialysis (PD) is an umbrella term that encompasses a variety of techniques such as continuous ambulatory PD, automated PD, tidal PD, and intermittent PD, among others. The various techniques exist to tailor the PD prescription to meet the goals of individual patients. Various clinical and nonclinical factors can change over time, requiring a change to the PD prescription. Read More

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January 2017
4 Reads

Antibiotic Prophylaxis in Peritoneal Dialysis Patients.

Adv Perit Dial 2017 Jan;33(2017):55-58

Division of Nephrology, University Health Network, Toronto, Ontario, Canada.

Peritonitis is an important cause of morbidity, mortality, and technique failure in patients on peritoneal dialysis (PD). The most effective approach to peritonitis is prevention, which includes careful patient training and follow-up. Although peritonitis as a result of contiguous spread of bacteria or fungi during invasive procedures, or as a result of seeding of the peritoneum during bacteremia, is uncommon, the likelihood of such spread is often predictable, and the risk can be mitigated with antibiotic prophylaxis. Read More

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January 2017
6 Reads

Bleeding Peritoneum During Peritoneal Dialysis: A Case of Early Encapsulating Peritoneal Sclerosis?

Adv Perit Dial 2017 Jan;33(2017):50-54

Division of Nephrology, Department of Medicine, University of Missouri-Columbia, Columbia, Missouri, U.S.A.

Complications of peritoneal dialysis (PD) create a significant burden for patients and providers. Some complications, such as infections and leaks, are preventable or easily treatable; however, potential fatal complications, such as encapsulating peritoneal sclerosis (EPS), cost patients their lives. Here, we present the case of a PD patient who might have had early, subtle, but ominous symptoms and signs of EPS, diagnosed in its early stages and promptly managed. Read More

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January 2017
5 Reads

Diagnostic Dilemma: A Case of Endogenous Peritonitis.

Adv Perit Dial 2017 Jan;33(2017):47-49

Division of Nephrology, University of Missouri-Columbia, Columbia, Missouri, U.S.A.

Endogenous peritonitis resulting from inflammation or perforation of an abdominal viscus-a result, for example, of diverticulitis, cholecystitis, or acute appendicitis-can be a complication in patients undergoing peritoneal dialysis (PD), with significant morbidity and a high incidence of catheter loss.Here, we describe an end-stage renal disease patient on PD who presented with acute abdominal pain and who was diagnosed with uncomplicated PD peritonitis. His clinical course was complicated by development of eosinophilic peritonitis because of an allergy to vancomycin. Read More

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January 2017
5 Reads

Peritoneal Dialysis in Patients with Abdominal Surgeries and Abdominal Complications.

Adv Perit Dial 2017 Jan;33(2017):40-46

Division of Nephrology, University of Missouri Health Science Center, Columbia, Missouri, U.S.A.

Peritoneal dialysis (PD) is an excellent treatment option for the patients with end-stage renal disease, having been shown to yield improved patient satisfaction and economic benefit. Many surgeons and physicians believe that patients with prior abdominal surgeries or other abdominal complications are not viable candidates for PD and that prevalent PD patients needing abdominal surgery should be switched to hemodialysis. The purpose of the present review is to address those misconceptions. Read More

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January 2017
10 Reads

Incisional Hernia After Peritoneal Dialysis Catheter Placement in a Patient on Sirolimus.

Adv Perit Dial 2017 Jan;33(2017):35-39

Dallas Nephrology Associates, Dallas, Texas, U.S.A.

Hernias and peritoneal dialysis (PD) catheter leaks are frequent complications in patients on PD. Transplant recipients have multiple risk factors for delayed wound healing, such as use of corticosteroids and sirolimus, and the presence of uremia and diabetes mellitus. We report a rare occurrence of incisional hernia attributable to internal wound dehiscence after PD catheter placement in a patient on sirolimus. Read More

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January 2017
6 Reads

Long-Term Prognosis of Peritoneal Dialysis Patients with a Re-embedded Catheter.

Adv Perit Dial 2017 Jan;33(2017):31-34

Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Upon peritoneal dialysis (PD) discontinuation in frail patients, we have re-embedded the catheter and left it subcutaneously buried. However, we have not evaluated the long-term prognosis of those patients after the procedure or the complications associated with buried catheters. We therefore aimed to clarify the long-term prognosis of patients with a re-embedded catheter and to identify any associated complications. Read More

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January 2017
5 Reads

Early Postoperative Complications of Peritoneal Dialysis Catheter Surgery Conducted by Nephrologists: A Single-Center Experience Over an Eight-Year Period.

Adv Perit Dial 2017 Jan;33(2017):26-30

Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

The results of several recent studies indicate that the practice of peritoneal dialysis catheter (PDC) insertion by nephrologists is safe. However, few studies have addressed the important issue of safety in surgeries related to PD, including PDC removal and other types of surgery. In the present study, we aimed to verify whether the incidence of early postoperative complications for surgical procedures related to PD and performed by nephrologists meets the audit standards of clinical practice guidelines for peritoneal access. Read More

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January 2017
5 Reads

Successful Peritoneal Dialysis Catheter Placement in a New End-Stage Renal Disease Patient with Combined Antiphospholipid Syndrome and Factor XI Deficiency.

Adv Perit Dial 2017 Jan;33(2017):22-25

Nephrology, University of California-Irvine, Orange, California, U.S.A.

Coagulopathies and bleeding disorders can affect dialysis outcomes by increasing the thrombosis risk at the arteriovenous access or by causing prolonged bleeding at access or catheter sites. We present the case of a 68-year-old woman with combined antiphospholipid syndrome and factor XI deficiency, with chronic prolongation of activated partial thromboplastin time that was not correctable with fresh-frozen plasma (FFP).The patient had a history of stroke, but was not on antiplatelet therapy because of mucocutaneous bleeding events. Read More

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January 2017
6 Reads

Peritoneal Dialysis Preserves Residual Renal Function and Reduces Oxidative Stress During the Initial Period of Dialysis Therapy.

Adv Perit Dial 2017 Jan;33(2017):18-21

Department of Internal Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Patients with end-stage renal failure are believed to have an increase of oxidative stress. However, any variation in oxidative stress between patients receiving hemodialysis (HD) and those receiving peritoneal dialysis (PD) are still unclear. In the present study, we investigated variation in oxidative stress in 54 HD and 23 PD patients during their initial dialysis period. Read More

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January 2017
24 Reads

No Relation Between Peritoneal Fibrosis and Free Water Transport in a Rat Model.

Adv Perit Dial 2017 Jan;33(2017):13-17

Division of Nephrology, Department of Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.

Free water transport (FWT) during peritoneal dialysis (PD) can easily be measured by Na kinetics. In long-term PD, FWT might reflect peritoneal fibrosis, but morphologic or functional relationships have not been investigated. Nonconventional dialysis solutions might be associated with better preservation of peritoneal tissues and function. Read More

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January 2017
6 Reads

Peritoneal Phosphate Clearance: The Effect of Peritoneal Dialysis Modality and Peritoneal Transport Status.

Authors:
Andrew Davenport

Adv Perit Dial 2017 Jan;33(2017):6-12

UCL Centre for Nephrology, Royal Free Hospital, London, U.K.

Hyper- and hypophosphatemia are recognized risk factors for all-cause mortality in peritoneal dialysis (PD) patients. Recent changes have now focused PD solute clearance targets on urea clearance, rather than on larger solutes, including phosphate. We therefore studied peritoneal phosphate clearance in a cohort of PD patients to determine which factors were clinically relevant. Read More

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January 2017
6 Reads

Incisional Hernia After Peritoneal Dialysis Catheter Placement in a Patient on Sirolimus.

Adv Perit Dial 2017 Jan;33(2017):35-39

Dallas Nephrology Associates, Dallas, Texas, U.S.A.

Hernias and peritoneal dialysis (PD) catheter leaks are frequent complications in patients on PD. Transplant recipients have multiple risk factors for delayed wound healing, such as use of corticosteroids and sirolimus, and the presence of uremia and diabetes mellitus. We report a rare occurrence of incisional hernia attributable to internal wound dehiscence after PD catheter placement in a patient on sirolimus. Read More

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January 2017
5 Reads

Successful Peritoneal Dialysis in Large-Weight Subjects: Clinical Features and Comparisons with Normal-Weight Subjects.

Adv Perit Dial 2016;32:61-67

Division of Nephrology, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.

Peritoneal dialysis (PD) obviates the need for temporary vascular access in end-stage renal disease; however, extremely heavy weight has been viewed as a relative contraindication to PD.We performed a cross-sectional review of multiple clinical and laboratory variables for 75 current or past PD patients (vintage > 6 months), comparing dialysis adequacy parameters for those with a large body weight (>100 kg, LWS group) and with a normal body weight (<75 kg, NWS group).In the LWS group (n = 17), mean weight was 117. Read More

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December 2017
46 Reads

Bullous Skin Lesions in a Patient with End-Stage Renal Disease and Hepatitis C.

Adv Perit Dial 2016;32:56-60

Methodist Dallas Medical Center, Dallas, Texas, U.S.A.

Bullous lesions in patients with end-stage renal disease are uncommon and can pose diagnostic and therapeutic challenges. We present a female patient with end-stage renal disease, bullous skin lesions affecting mainly sun-exposed areas, and high ferritin levels. She also had hepatitis C. Read More

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December 2017
14 Reads

Treatment of Calciphylaxis: A Case for Oral Sodium Thiosulfate.

Adv Perit Dial 2016;32:51-55

Dallas Nephrology Associates and Methodist Dallas Medical Center, Dallas, Texas, U.S.A.

Calciphylaxis is a major cause of morbidity and mortality in end-stage renal disease (ESRD). Intravenous sodium thiosulfate (STS) is the mainstay of therapy for calciphylaxis. In peritoneal dialysis (PD) patients with calciphylaxis, intravenous STS poses logistic and financial challenges. Read More

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December 2017
13 Reads

Efficacy and Biocompatibility of Neutral Icodextrin Peritoneal Dialysis Fluid.

Adv Perit Dial 2016;32:46-50

Division of Nephrology, Endocrinology, and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Neutral icodextrin peritoneal dialysis (PD) fluid (n-ICO) has become available for use in Japan. However, removal of water and solutes remains to be elucidated in detail. The present study was designed to determine removal of water, electrolytes, and small, middle, and large molecules in a period of 16 hours. Read More

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December 2017
19 Reads

Role of Chronic Use of Tolvaptan in Patients with Heart Failure Undergoing Peritoneal Dialysis.

Adv Perit Dial 2016;32:39-45

Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

In the present study, we assessed the effect of chronic tolvaptan treatment and compared it with the effect of conventional treatment without tolvaptan. In addition, changes in cardiac load and body fluid composition were compared.The study enrolled 22 patients undergoing peritoneal dialysis who had been receiving tolvaptan for more than 1 year and 10 patients undergoing peritoneal dialysis who had been treated with conventional diuretics. Read More

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December 2017
30 Reads

Preoperative Cardiac Evaluation in Kidney Transplant Patients: Is Coronary Angiography Superior? A Focused Review.

Adv Perit Dial 2016;32:32-38

Division of Cardiovascular Medicine, Department of Medicine, University of Missouri School of Medicine, Columbia, Missouri, U.S.A.

Cardiovascular disease is the major cause of morbidity and mortality in chronic kidney disease patients. Because of a higher occurrence of asymptomatic coronary artery disease and increased perioperative cardiovascular mortality in kidney transplant patients, screening for coronary artery disease before transplant surgery is essential. Various studies have shown that cardiac stress testing is an unreliable screening method in these patients because of significant variability in sensitivity and negative predictive value. Read More

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December 2017
13 Reads

Comparing Dialysis Modality and Cardiovascular Mortality in Patients on Hemodialysis and Peritoneal Dialysis.

Adv Perit Dial 2016;32:22-31

Nephrology Department, Ain Shams University, Cairo, Egypt.

Patients undergoing dialysis are at high risk for cardiovascular disease (CVD). Mortality differences between peritoneal dialysis (PD) and hemodialysis (HD) are widely debated. The question of whether dialysis modality affects the risk for CVD remains to be addressed. Read More

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December 2017
21 Reads

Time Is Not Always the Matter: An Instance of Encapsulating Peritoneal Sclerosis Developing in a Patient on Peritoneal Dialysis for a Short Term.

Adv Perit Dial 2016;32:19-21

Montefiore Medical Center, Wakefield Campus, Bronx, New York, U.S.A.

Encapsulating peritoneal sclerosis (EPS) is an infrequent but serious complication that is observed mostly in patients on long-term peritoneal dialysis (PD). However it can occur after short-term PD, in association with "second hit" risk factors such as peritonitis, acute cessation of PD, or kidney transplantation with the use of calcineurin inhibitors.In our case, a young woman with second-hit risk factors presented with clinical and abdominal computed tomography findings consistent with EPS after short-term PD. Read More

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December 2017
23 Reads

Erosion of the Silicone Peritoneal Dialysis Catheter with the Use of Gentamicin Cream at the Exit Site.

Adv Perit Dial 2016;32:15-18

University of Wisconsin, Madison, U.S.A.

Infection remains the leading complication of peritoneal dialysis (PD). Topical mupirocin and gentamicin are frequently used to prevent infections. Mupirocin ointment has been reported to cause damage to both polyurethane and silicone PD catheters. Read More

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December 2017
13 Reads

Louisiana State University Nephrology: Initiation of a Multicenter Urgent-Start Peritoneal Dialysis Program.

Adv Perit Dial 2016;32:11-14

Section of Nephrology and Hypertension, Louisiana State University Health Sciences Center-New Orleans, New Orleans, Louisiana, U.S.A.

Urgent-start peritoneal dialysis (PD) refers to the initiation of PD in new-start end-stage renal disease patients who present either emergently in the hospital or urgently in clinic. These patients are called "late-referred patients." Our academic practice group, like many private practice and academic groups, currently functions within 4 hospitals and 4 clinics. Read More

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December 2017
15 Reads

Correlation Between Near-Vision Acuity and the Incidence of Peritoneal Dialysis-Related Infections.

Adv Perit Dial 2016;32:7-10

Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Peritoneal dialysis (PD)-related infections (PDIs) such as peritonitis, exit-site infection, and tunnel infection are serious complications affecting patients on PD. Because patients with diabetes (DM) and of older age have increased in number in Japan, the number of patients with visual impairment is estimated also to have increased. Near vision is necessary for performing proper PD daily care. Read More

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December 2017
11 Reads

Rupture of Subcutaneous Peritoneal Dialysis Catheter by Stretching Exercise: A Case Report.

Adv Perit Dial 2016;32:3-6

Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Rupture of the peritoneal dialysis (PD) catheter is rare complication. Here, we report a case of catheter rupture that occurred because of exercise after partial catheter reimplantation.A 66-year-old man with a history of end-stage kidney disease secondary to diabetic nephropathy experienced refractory exit-site and tunnel infection. Read More

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December 2017
30 Reads

Mortality Comparison of Hemodialysis and Peritoneal Dialysis Patients at a Single Japanese Center.

Adv Perit Dial 2015 ;31:74-7

To investigate whether peritoneal dialysis (PD) is useful as a first modality in Japan, where hemodialysis (HD) is used in 97% of all patients on maintenance dialysis, we used intention-to-treat (ITT) and as-treated analyses to examine patient survival at our center, where HD and PD are used almost equally. In the ITT analysis, survival was significantly better in the PD group than in the HD group (p = 0.009). Read More

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February 2016
13 Reads

Offering Patients Therapy Options in Unplanned Start: Development and Implementation of an Education Program for Unplanned-Start Patients.

Adv Perit Dial 2015 ;31:69-73

Unplanned start of dialysis is still a common and important problem for dialysis units in Europe and across the world: 30%-50% of patients can commence therapy in that way. Such patients are known to experience increased morbidity and mortality, to make greater demands on health care resources, and to be less likely to receive their dialysis modality choice. We therefore aimed to meet the specific needs of unplanned-start patients by developing and implementing an Unplanned Start Educational Programme in dialysis units. Read More

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February 2016
13 Reads

Impact of Peritoneal Dialysis Catheter Insertion by a Nephrologist: Results of a Questionnaire Survey of Patients and Nurses.

Adv Perit Dial 2015 ;31:59-68

Peritoneal dialysis (PD) is an excellent dialysis mo- dality, but it is underutilized in the United States and Japan. In the present study, we evaluated the impact of interventional nephrology in PD on the impres- sions held by patients and nurses about selection of a renal replacement therapy and the complications associated with PD therapy. Over aperiod of 7 years, PD catheter insertion in 120 patients with end-stage renal disease (age: 63. Read More

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February 2016
22 Reads

Hypotension in Infants on Chronic Peritoneal Dialysis: Mechanisms, Complications, and Management.

Adv Perit Dial 2015 ;31:54-8

Hypotension represents a very serious clinical problem in patients receiving renal replacement therapy, and it is associated with a significant increase in mortality risk. Infants on chronic peritoneal dialysis (CPD) can be particularly prone to chronic hypotension because of the hyponatremic hypovolemia risk related to their primary renal disease, their nutritional needs, and their peritoneal membrane characteristics. In this setting, if an acute clinical event leads to a further decline in systolic blood pressure, the counteract and perfusion pressure autoregulatory mechanisms can both be impaired, leading to severe complications. Read More

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http://www.advancesinpd.com/adv15/54-58_Vidal.pdf
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February 2016
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Association Between Residual Kidney Function and Visit-to-Visit Blood Pressure Variability in Peritoneal Dialysis Patients.

Adv Perit Dial 2015 ;31:49-53

Visit-to-visit blood pressure (BP) variability has recently been recognized as an important risk factor for decline of residual kidney function (RKF) in patients with chronic kidney disease. However little is known about the impact of visit-to-visit BP variability on RKF in peritoneal dialysis (PD) patients. We retrospectively studied the association between RKF and visit-to-visit BP variability in 42 patients who started on PD between February 2006 and March 2012. Read More

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February 2016
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Relationship of Normalized Protein Catabolic Rate with Nutrition Status and Long-Term Survival in Peritoneal Dialysis Patients.

Adv Perit Dial 2015 ;31:45-8

The normalized protein catabolic rate (nPCR) reflects daily dietary protein intake in stable dialysis patients. In peritoneal dialysis (PD) patients, reports about the importance of nPCR as marker of nutrition and outcome have been inconsistent. The objective of the present study was to investigate the relationships of nPCR with body composition parameters, micronutrient electrolytes, and long-term survival in PD patients. Read More

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http://www.advancesinpd.com/adv15/45-48_Fein.pdf
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February 2016
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