| Long-term peritoneal dialysis and encapsulating peritoneal sclerosis in children. | |
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MedLine Citation:
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PMID: 18853196 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Encapsulating peritoneal sclerosis (EPS) is the most serious complication of long-term peritoneal dialysis (PD), with a mortality rate that exceeds 30%. There have been many reports of the incidence of EPS being strongly correlated to the duration of PD. Patients on PD for longer than 5 years, and especially those receiving this treatment for more than 8 years, should undergo careful and repeated surveillance for risk factors associated with the development of EPS. The development of ultrafiltration failure, a high dialysate/plasma creatinine ratio, as determined by the peritoneal equilibration test, peritoneal calcification, a persistently elevated C-reactive protein level, and severe peritonitis in patients on PD for longer than 8 years are signals that should prompt the clinician to consider terminating PD as a possible means of preventing the development of EPS. The impact of the newer, biocompatible PD solutions on the incidence of EPS has not yet been determined. |
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Authors:
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Masataka Honda; Bradley A Warady |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2008-10-14 |
Journal Detail:
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Title: Pediatric nephrology (Berlin, Germany) Volume: - ISSN: 1432-198X ISO Abbreviation: Pediatr. Nephrol. Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8708728 Medline TA: Pediatr Nephrol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Pediatric Nephrology, Tokyo Metropolitan Children's Hospital, Umezono 1-3-1, Kiyoseshi, Tokyo, 204-8567, Japan, masahonda@amy.hi-ho.ne.jp. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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