In 1960, the American Medical Association had not yet recognised nephrology as a specialty. Over the past thirty years, nephrology has developed into a major subspecialty, leading as a pioneer in the field of organ replacement therapy and transplant technology. In 1984, it was estimated that over 200,000 people worldwide were kept alive by chronic haemodialysis, continuous ambulatory peritoneal...

Kocuria spp. are members of the Micrococcaceae family that are frequently found in the environment and on human skin. Few human infections have been reported. We describe what appear to be the first two cases of Kocuria marina peritonitis in patients undergoing continuous ambulatory peritoneal dialysis.

Correspondence to: Hugo Abensur. University Hospital, School of Medicine of the University of São Paulo. AV. Macuco, no 58, apto 11. São Paulo, SP, Brazil. CEP: 04523-000. E-mail: [email protected] Blockade of the renin-angiotensin system (RAS) in patients on peritoneal dialysis offers three potential benefits: reduced cardiovascular mortality, preservation of residual renal function, and mainten...

proliferator-activated receptor-gamma in peritoneal dialysis patients will it reduce inflammation, atherosclerosis, calcification and improve survival of peritoneal dialysis patients. Hong Kong, People’s Republic of China: Hospital Authority. (21 March 2011, date last accessed) 28. Duman S, Sen S, Duman C et al. Effect of valsartan versus lisinopril on peritoneal sclerosis in rats. Int J Artif ...

In long-term peritoneal dialysis, functional deterioration of the peritoneal membrane is often associated with proliferative processes of the involved tissues leading to peritoneal fibrosis. In continuous ambulatory peritoneal dialysis (CAPD), failure to achieve target values for adequacy of dialysis is commonly corrected by increasing dwell volume; in case of ultrafiltration failure, osmolarit...

Encapsulating peritoneal sclerosis (EPS) is a devastating but, fortunately, rare complication of long-term peritoneal dialysis. The disease is associated with extensive thickening and fibrosis of the peritoneum resulting in the formation of a fibrous cocoon encapsulating the bowel leading to intestinal obstruction. The incidence of EPS ranges between 0.7 and 3.3% and increases with duration of ...

BACKGROUND AND OBJECTIVES Nocturnal home hemodialysis provides excellent biochemical and metabolic control of uremia; however, extensive training is necessary and technical barriers exist for intensive home hemodialysis compared with the relative simplicity of peritoneal dialysis. It was hypothesized that nocturnal home hemodialysis is associated with improved quality of life but higher illness...

Peritoneal dialysis catheters have undergone various modifications over time in an effort to reduce technique failure. Complications resulting from the catheter insertion technique can contribute significantly to technique failure. We report one such complication, highlighting the importance of careful surgical technique in ensuring proper catheter placement.

Peritoneal dialysis is a technique whereby infusion of dialysis solution into the peritoneal cavity is followed by a variable dwell time and subsequent drainage. Continuous ambulatory peritoneal dialysis (CAPD) is a continuous treatment consisting of four to five 2-L dialysis exchanges per day (Fig. 4-1A). Diurnal exchanges last 4 to 6 hours, and the nocturnal exchange remains in the peritoneal...