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2015 ; 56
(5
): 1359-64
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Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year
Single-Center Study
#MMPMID26256980
Kim JE
; Park SJ
; Oh JY
; Kim JH
; Lee JS
; Kim PK
; Shin JI
Yonsei Med J
2015[Sep]; 56
(5
): 1359-64
PMID26256980
show ga
PURPOSE: The aim of this study was to investigate noninfectious complications of
peritoneal dialysis (PD), including mechanical and metabolic complications, at a
single center in Korea. MATERIALS AND METHODS: We analyzed data from 60 PD
patients aged ?18 years (40 boys and 20 girls) during the period between 1986 and
2012. The collected data included gender, age, causes of PD, incidence of
noninfectious complications, and treatment for the complications. RESULTS: The
mean duration of PD therapy was 28.7±42.1 months (range 1-240 months). The most
common cause of end-stage renal disease was glomerular disease (43.3%). There
were no statistically significant differences between patients with and without
mechanical complications regarding gender, age at the start of PD, and total
duration of PD. Outflow failure was the most common catheter-related complication
(14.3%), followed by leakage (10.0%) and hernia (8.6%). Metabolic complications,
such as hyperglycemia and hypokalemia, were observed in three of 16 patients. The
frequency of noninfectious complications of PD in our study was comparable with
those in previous pediatric studies. PD was switched to hemodialysis (HD) in only
three patients. CONCLUSION: Our results indicate that noninfectious complications
of PD are common, though they hardly lead to catheter removal or HD in pediatric
patients on PD.
|*Outcome and Process Assessment, Health Care
[MESH]