Continuous-cycling peritoneal dialysis for children: an alternative to hemodialysis treatment.


Treatment of end-stage renal failure in children is invasive and prolonged. Although kidney transplantation is often the desired therapy, children usually require some form of life-sustaining dialysis until a suitable donor is found. Home continuous-cycling peritoneal dialysis (CCPD) is a useful alternative to in-center hemodialysis for these children. Adequate biochemical control of the uremic state can be achieved with continuous-cycling peritoneal dialysis. Peritonitis remains the major complication of this form of dialysis, averaging approximately one episode per 12 patient-months. Growth rates of children maintained on continuous-cycling peritoneal dialysis appear to be equivalent to growth rates of children treated with hemodialysis. The advantage of continuous-cycling peritoneal dialysis lies in the fact that exchanges occur during the evening hours and parental intervention is minimized.


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@article{Brem1984ContinuouscyclingPD, title={Continuous-cycling peritoneal dialysis for children: an alternative to hemodialysis treatment.}, author={Andrew Samuel Brem and Ant{\'o}nio Toscano}, journal={Pediatrics}, year={1984}, volume={74 2}, pages={254-8} }