Long-term follow-up of patients treated with a combination of continuous ambulatory peritoneal dialysis and hemodialysis.

نویسندگان

  • Hitoshi Hoshi
  • Hidetomo Nakamoto
  • Yoshihiko Kanno
  • Hiroshi Takane
  • Naofumi Ikeda
  • Soichi Sugahara
  • Hirokazu Okada
  • Hiromichi Suzuki
چکیده

Continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis (HD) both have advantages in the treatment of patients with renal failure. In CAPD, solute removal is sometimes insufficient in patients who have a relatively large muscle mass that produces high levels of creatinine. To compensate for this deficiency, frequent exchanges and large dialysate volumes are required. We previously reported that once-weekly HD helps CAPD patients who experience insufficient solute removal. In the present study, we followed, for more than 3 years, 9 CAPD patients who underwent additional weekly HD. Add-on HD therapy significantly increased the subjects' weekly peritoneal creatinine clearance to 45 +/- 3 L (mean +/- standard deviation); these values rose to more than 60 L over the course of the study. Our findings suggest that the combined use of CAPD and HD improves solute clearance in CAPD patients who are insufficiently dialyzed.

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عنوان ژورنال:
  • Advances in peritoneal dialysis. Conference on Peritoneal Dialysis

دوره 22  شماره 

صفحات  -

تاریخ انتشار 2006