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Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study

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 perio...

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Autores principales: Kim, Ji Eun, Park, Se Jin, Oh, Ji Young, Kim, Ji Hong, Lee, Jae Seung, Kim, Pyung Kil, Shin, Jae Il
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541667/
https://www.ncbi.nlm.nih.gov/pubmed/26256980
http://dx.doi.org/10.3349/ymj.2015.56.5.1359
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author Kim, Ji Eun
Park, Se Jin
Oh, Ji Young
Kim, Ji Hong
Lee, Jae Seung
Kim, Pyung Kil
Shin, Jae Il
author_facet Kim, Ji Eun
Park, Se Jin
Oh, Ji Young
Kim, Ji Hong
Lee, Jae Seung
Kim, Pyung Kil
Shin, Jae Il
author_sort Kim, Ji Eun
collection PubMed
description 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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spelling pubmed-45416672015-09-01 Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study Kim, Ji Eun Park, Se Jin Oh, Ji Young Kim, Ji Hong Lee, Jae Seung Kim, Pyung Kil Shin, Jae Il Yonsei Med J Original Article 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. Yonsei University College of Medicine 2015-09-01 2015-07-29 /pmc/articles/PMC4541667/ /pubmed/26256980 http://dx.doi.org/10.3349/ymj.2015.56.5.1359 Text en © Copyright: Yonsei University College of Medicine 2015 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Ji Eun
Park, Se Jin
Oh, Ji Young
Kim, Ji Hong
Lee, Jae Seung
Kim, Pyung Kil
Shin, Jae Il
Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study
title Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study
title_full Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study
title_fullStr Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study
title_full_unstemmed Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study
title_short Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study
title_sort noninfectious complications of peritoneal dialysis in korean children: a 26-year single-center study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541667/
https://www.ncbi.nlm.nih.gov/pubmed/26256980
http://dx.doi.org/10.3349/ymj.2015.56.5.1359
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