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Advances in Peritoneal Dialysis

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https://www.readbyqxmd.com/read/29668439/erratum
#1
(no author information available yet)
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January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668438/renastart-use-in-an-infant-on-peritoneal-dialysis
#2
Lisa G Keung
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.S.A.) is a low-iron infant formula indicated for infants who would benefit from a lowered mineral intake. It is the only infant formula marketed in the United States for infants with renal impairment. The objective of the present case study was to examine whether Renastart, a pediatric renal formula (Nestlé Health Science, Florham Park, NJ, U...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668437/combination-therapy-with-peritoneal-dialysis-and-hemodialysis-from-the-initiation-of-renal-replacement-therapy-preserves-residual-renal-function-and-serum-albumin
#3
Atsushi Ueda, Kei Nagai, Aki Hirayama, Chie Saito, Kunihiro Yamagata
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.In patients on HD (n = 52), PD (n = 21), and combination dialysis (n = 13), we studied changes in RRF, blood parameters, and peritoneal permeability for 30 months...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668436/predictive-factors-for-withdrawal-from-peritoneal-dialysis-a-retrospective-cohort-study-at-two-centers-in-japan
#4
Yasuhiro Taki, Tsutomu Sakurada, Kenichiro Koitabashi, Naohiko Imai, Yugo Shibagaki
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.For this retrospective cohort study at two hospitals between March 2003 and October 2016, we defined withdrawal from PD as the induction of combination therapy, transfer to hemodialysis, or death...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668435/pilot-study-improving-patient-outcomes-with-healing-touch
#5
Kimberly Hendricks, Kelley F Wallace
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...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668434/continuous-ambulatory-peritoneal-dialysis-and-automated-peritoneal-dialysis-what-who-why-and-how-review-and-case-study
#6
Kunal Malhotra, Ramesh Khanna
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. This article uses a practical case study to highlight the intricacies of the calculations behind PD prescription to achieve clearance goals...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668433/antibiotic-prophylaxis-in-peritoneal-dialysis-patients
#7
Miten J Dhruve, Joanne M Bargman
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...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668432/bleeding-peritoneum-during-peritoneal-dialysis-a-case-of-early-encapsulating-peritoneal-sclerosis
#8
Prameela Banoth, Ramesh Khanna
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.A 57-year-old man who had been receiving PD for 6 years began having recurrent episodes of abdominal pain, blood-tinged effluent, and peritonitis...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668431/diagnostic-dilemma-a-case-of-endogenous-peritonitis
#9
Osaze Edo-Ohonba, Ramesh Khanna, Madhukar Misra
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...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668430/peritoneal-dialysis-in-patients-with-abdominal-surgeries-and-abdominal-complications
#10
Fahad Aziz, Kunal Chaudhary
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.Our review of literature shows that, when appropriately planned, PD can still be an acceptable option for patients with end-stage renal disease and certain abdominal complications, including abdominal surgery, provided that the peritoneum is not compromised...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668429/incisional-hernia-after-peritoneal-dialysis-catheter-placement-in-a-patient-on-sirolimus
#11
Simratdeep Sandhu, Richard Dickerman, Bruce Smith, Anupkumar Shetty
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.A 34-year-old Latino American man was started on PD training 4 weeks after placement of a PD catheter...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668428/long-term-prognosis-of-peritoneal-dialysis-patients-with-a-re-embedded-catheter
#12
Tsutomu Sakurada, Nagayuki Kaneshiro, Yasuhiro Taki, Shigeki Kojima, Kenichiro Koitabashi, Shina Sueki, Yugo Shibagaki
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.The outcomes of 10 patients having a catheter that was re-embedded between February 2010 and May 2016 were assessed by interviewing the patients or their families (when possible), and by reviewing medical records...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668427/early-postoperative-complications-of-peritoneal-dialysis-catheter-surgery-conducted-by-nephrologists-a-single-center-experience-over-an-eight-year-period
#13
Kiyomi Osako, Tsutomu Sakurada, Kenichiro Koitabashi, Shina Sueki, Yugo Shibagaki
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...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668426/successful-peritoneal-dialysis-catheter-placement-in-a-new-end-stage-renal-disease-patient-with-combined-antiphospholipid-syndrome-and-factor-xi-deficiency
#14
Antoney Ferrey, Roy M Fujitani, Minh-Ha Tran, Yongen Chang, Wei Ling Lau
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...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668425/peritoneal-dialysis-preserves-residual-renal-function-and-reduces-oxidative-stress-during-the-initial-period-of-dialysis-therapy
#15
Atsushi Ueda, Kei Nagai, Aki Hirayama, Chie Saito, Kunihiro Yamagata
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.We measured serum pentosidine and indoxylsulfuric acid as markers of oxidative stress every 6 months from the start of the dialysis therapy to 30 months of treatment...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668424/no-relation-between-peritoneal-fibrosis-and-free-water-transport-in-a-rat-model
#16
Raymond T Krediet, Carmen A Vlahu, Deirisa Lopes Barreto, Dirk G Struijk
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. We developed a long-term peritoneal exposure model in rats with impaired kidney function and investigated peritoneal morphology and function in that model after exposure to conventional and nonconventional solutions...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668423/peritoneal-phosphate-clearance-the-effect-of-peritoneal-dialysis-modality-and-peritoneal-transport-status
#17
Andrew Davenport
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.We reviewed results from 451 adult PD patients who were attending for their first assessment of peritoneal membrane function [31.2% treated by continuous ambulatory PD (CAPD); 24...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/29668422/incisional-hernia-after-peritoneal-dialysis-catheter-placement-in-a-patient-on-sirolimus
#18
Simratdeep Sandhu, Richard Dickerman, Bruce Smith, Anupkumar Shetty
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.A 34-year-old Latino American man was started on PD training 4 weeks after placement of a PD catheter...
January 2017: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/28988592/successful-peritoneal-dialysis-in-large-weight-subjects-clinical-features-and-comparisons-with-normal-weight-subjects
#19
COMPARATIVE STUDY
Sohail Abdul Salim, Yougandhar Akula, Swetha Kandhuri, Sabahat Afshan, Lajos Zsom, Mehul P Dixit, Tibor Fülöp
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...
2016: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/28988591/bullous-skin-lesions-in-a-patient-with-end-stage-renal-disease-and-hepatitis-c
#20
Michael M Strauss, Anupkumar Shetty, Daniel Witheiler
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. Her serum porphyrin panel was suggestive of porphyria cutanea tarda. Skin biopsy excluded inflammatory pathologies. Phlebotomy during each hemodialysis, continuation of darbepoetin, and avoidance of any further doses of intravenous iron, with close monitoring of hemoglobin, resulted in a gradual drop in ferritin level and improvement of the skin lesions...
2016: Advances in Peritoneal Dialysis
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