TY - JOUR
T1 - Noninfectious complications of peritoneal dialysis in Korean children
T2 - A 26-year single-center study
AU - Kim, Ji Eun
AU - Park, Se Jin
AU - Oh, Ji Young
AU - Kim, Ji Hong
AU - Lee, Jae Seung
AU - Kim, Pyung Kil
AU - Shin, Jae Il
N1 - Publisher Copyright:
© Yonsei University College of Medicine 2015.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - 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.
AB - 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.
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U2 - 10.3349/ymj.2015.56.5.1359
DO - 10.3349/ymj.2015.56.5.1359
M3 - Article
C2 - 26256980
AN - SCOPUS:84938859745
VL - 56
SP - 1359
EP - 1364
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 5
ER -