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Chronic Ambulatory Peritoneal Dialysis (CAPD) and Chronic Cycling Peritoneal Dialysis (CCPD) in Children PDF

346 Pages·1987·8.83 MB·English
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Preview Chronic Ambulatory Peritoneal Dialysis (CAPD) and Chronic Cycling Peritoneal Dialysis (CCPD) in Children

CHRONIC AMBULATORY PERITONEAL DIALYSIS (CAPD) AND CHRONIC CYCLING PERITONEAL DIALYSIS (CCPD) IN CHILDREN Topics in Renal Medicine Vittorio E Andreucci, Series Editor 1. VE Andreucci, The Kidney In Pregnancy. ISBN 0-89838-741-8 2. AR Clarkson, IgA Nephropathy. ISBN 0-89838-839-2 3. V Camhi, Short Dialysis. ISBN 0-89838-858-9 CHRONIC AMBULATORY PERITONEAL DIALYSIS (CAPD) AND CHRONIC CYCLING PERITONEAL DIAL YSIS (CCPD) IN CHILDREN edited by RICHARD N FINE, M.D. UCLA School of Medicine MARTINUS NIJHOFF PUBLISHING A MEMBER OF THE KLUWER ACADEMIC PUBLISHERS GROUP 80STON DORDRECHT LANCASTER Copyright 1987 © by Martinus NijhoffPublishing, Boston Softcover reprint of the hardcover I st edition 1987 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publishers. Martinus NijhoffPublishers, 101 Philip Drive, Assinippi Park, Norwell, MA 02061 Distributors for the United States and Canada: Kluwer Academic Publishers, 101 Philip Drive, Assinippi Park, Norwell, MA 02061 for the UK and Ireland: Kluwer Academic Publishers, MTP Press Limited, Falcon House, Queen Square, Lancaster LAI IRN, UK for all other countries: Kluwer Academic Publishers Group, Distribution Centre, P. O. Box 322, 3300 AH Dordrecht, The Netherlands Library of Congress Cataloging-in-Publication Data Chronic ambulatory peritoneal dialysis (CAPD) and chronic cycling peritoneal dialysis (CCPD) in children. (Topics in renal medicine) Includes index. 1. Continuous ambulatory peritoneal dialysis in children. 2. Continuous cycling peritoneal dialysis in children. I. Fine, Richard N. II. Series. [DNLM: 1. Peritoneal Dialysis-in infancy & childhood. 2. Peritoneal Dialysis, Continuous Ambulatory-in infancy & childhood. Wj 378 C5565] Rj470.5.P47C48 1986 617'.461059 86-33289 ISBN-l3: 978-1-4612-9217-3 e-ISBN-13: 978-1-4613-2047-0 DOl: 10.1007/978-1-4613-2047-0 To Shawney: "because I never had to say I'm sorry" TABLE OF CONTENTS Contributing Authors x Preface Xlll 1. The use of peritoneal dialysis in Europe for treatment of children with end stage renal disease-EDTA registry data 1 GIANFRANCORIZZONI, M.D., MICHELBROYER, M.D., SABRI CHALLAH, M.D., NEVILLE H SELWOOD, M.D. 2. Demographic data on the use ofCAPD/CCPD as a primary dialytic therapy in children in the United States 13 ANTONIA C NOVELLO, M.D., M.P.H., ANNE S LINDBLAD, M.S., JOEL WNOVAK, M.S., KARL D NOLPH, M.D. 3. Pediatric CAPD in developing countries 21 JOSE GRONBERG, M.D., MARIA CRISTINA VEROCAY, M.D., ALICIA AREA, R.N. 4. Developmental aspects of peritoneal dialysis kinetics 33 ALAN B GRUSKIN, M.D., GARY R LERNER, M.D., LARRY E FLEISCHMANN, M.D. 5. Peritoneal dialysis kinetics in children 47 BRUCE Z MORGENSTERN, M.D., HJORGE BALUARTE, M.D. 6. Kinetics ofCCPD in children 63 HEINZ E LEICHTER, M.D. vii viii Table of Contents 7. CAPD in infants 77 EDWARD C KOHAUT, M.D. 8. Technical aspects ofCAPD/CCPD 87 LAWRENCEMOPAS, M.D. 9. Peritoneal catheter: technique, logevity, complications 111 ERIC W FONKALSRUD, M.D. 10. Continuous ambulatory peritoneal dialysis in children; biochemical control of uremia, anemia, hypertension, lipid metabolism, glucose tolerance, and endocrine abnormalities 123 ROBERT S FENNELL III, M.D., ABDOLLAH IRAVANI, M.D., GEORGE A RICHARD, M.D. 11. The role of the nurse in CAPD/CCPD training 153 MARCIA A WILSON, R.N. 12. Complications ofCAPD/CCPD in pediatric patients 179 ANDREW S BREM, M.D. 13. Peritonitis in infants and children on CAPD/CCPD 189 GARY M LUM, M.D. 14. Loss of ultrafiltration and sclerosing encapsulating peritonitis in children undergoing CAPD/CCPD 201 PATRICKNIAUDET, M.D. 15. Long-term function of the peritoneal membrane 221 TASSILO VON LILIEN, M.D. 16. Nutritional recommendations for children treated with CAPDI CCPD 235 ISIDRO B SALUSKY, M.D. 17. The role of the dietitian in the management of children undergoing CAPDI CCPD 245 PAULINE NELSON, R.D. 18. Supplemental (NG) feedings of infants undergoing continuous peritoneal dial ysis 263 SUSAN B CONLEY, M.D. 19. Protein losses during CAPD in children: the role of dialysates containing amino acids 271 RHONAMHANNING, PH.D., STANLEY HZLOTKIN, M.D., J WILLIAMSON BALFE, M.D. 20. Control of renal bone disease by high-dose calcitriol and the use of calcium carbonate as a phosphate-binding agent in children on CAPDI CCPD 279 ISIDRO B SALUSKY, M.D. 21. Growth in children on CAPD 289 EDWARD C KOHAUT, M.D., F BRYSON WALDO, M.D. 22. Comparison ofCAPD and hemodialysis in children 297 DONALD E POTTER, M.D. ix 23. Comparison ofCAPD and CCPD in children 307 RONALD J HOGG, M.D. 24. Transplantation in children undergoing CAPD and CCPD 317 HEINZ E LEICHTER, M.D. 25. Promoting psychosocial adaptation to continuous ambulatory peritoneal dialysis/continuous cylcing peritoneal Dialysis in Children and Adolescents 325 PAUL R MUNFORD, PH.D. Index 337 CONTRIBUTING AUTHORS ALICIA AREA, R.N. MICHEL BROYER, M.D. Auxiliary Nursing Hospital Necker Enfants Malades CAPDUnit Paris, France Hospital-Sanatorio Espanol SABRI CHALLAH, M.D. Montevideo, Uruguay St. Thomas' Hospital J WILLIAMSON BALFE, M.D. London, United Kingdom Associate Professor of Pediatrics SUSAN B CONLEY, M.D. Division of Nephrology, Rm. 5123 C Associate Professor of Pediatrics The Hospital for Sick Children Chief, Pediatric Nephrology 555 University Avenue The University of Texas Medical School at Toronto, Ontario, Canada Houston M5G lX8 6431 Fannin Street HJORGE BALUARTE, M.D. Houston, Texas 77030 Professor of Pediatrics ROBERT S FENNELL III, M.D. Temple University School of Medicine Professor of Pediatrics Chief, Section of Nephrology Department of Pediatrics St. Christopher's Hospital for Children BoxJ-296 5th & Lehigh Avenue University of Florida College of Medicine Philadelphia, Pennsylvania 19133 Gainesville, Florida 32610 ANDREW S BREM, M.D. LARRY E FLEISCHMANN, M.D. Assistant Professor of Pediatrics Professor of Pediatrics Brown University Program in Medicine Wayne State University of Medicine Division of Pediatric Nephrology Chief of Nephrology Rhode Island Hospital SWP 4 Director of Medical Education 593 Eddy Street Children's Hospital of Michigan Providence, R.1. 02902 x xi 3901 Beaubien Blvd. HEINZ E LEICHTER, M.D. Detroit, Michigan 48201 Assistant Professor of Pediatrics Medical College of Wisconsin ERIC FONKALSRUD, M.D. Division of Pediatric Nephrology Professor and Chief, Pediatric Surgery Children's Hospital of Wisconsin Department of Surgery 1700 W. Wisconsin Avenue UCLA School of Medicine Milwaukee, Wisconsin 53233 72-126 Center for the Health Science Los Angeles, California 90024 ANNE S LINDBLAD, M.S. Data Coordinating Center JOSE GRUNBERG, M.D. National CAPD Registry Director, Pediatric Nephrology Unit The Emmes Corporation Hospital Pereira Rossell Potomac, Maryland 20854 Cas ilia de Correo 1138 Montevideo, Uruguay GARY LUM, M.D. Associate Professor of Pediatrics and Medicine ALAN B GRUSKIN, M.D. University of Colorado Health Science Center Professor and Chairman 4200 E. 9th Avenue Department of Pediatrics .. Campus Box C282 Wayne State University School of MedIC me Denver, Colorado 80262 Pediatrician-in-Chief Children's Hospital of Michigan BRUCE Z MORGENSTERN, M.D. 3901 Beaubien Blvd. Chief, Section on Pediatric Nephrology Detroit, Michigan 48201 USAF Medical Center Keesler Keesler A.F.B., Mississippi 39532 RHONA M HANNING, Ph.D. McMaster University PAUL R MUNFORD, Ph.D. Hamilton, Ontario, Canada Associate Professor Department of Psychiatry and Biobehavioral RONALD HOGG, M.D. Sciences Chief of Pediatrics C8-699 NPI Baylor University Medical Center Truett 3112 UCLA School of Medicine 3500 Gaston Avenue Los Angeles, California 90024 Dallas, Texas 75229 PAULINE NELSON, R.D. ABDOLLAH IRAVANI, M.D. Department of Pediatrics Associate Professor of Pediatrics Division of Pediatric Nephrology Department of Pediatrics UCLA Center for the Health Sciences BoxJ-296 10833 Le Conte Boulevard University of Florida College of Medicine Los Angeles, California 90024 Gainesville, Florida 32610 PATRICK NIAUDET, M.D. EDWARD C KOHAUT, M.D. Service de Nephrologie Pediatrique Professor of Pediatrics Department de Pediatrie Director, Pediatric Dialysis and Transplant Hopital Necker-Enfants Malades University of Alabama at Birmingham 149 rue de Sevres 1600 7th Avenue South 75730 Paris Cedex 15 Birmingham, Alabama 35233 KARL D NOLPH, M.D. GARY R LERNER, M.D. Professor of Medicine Assistant Professor Chief, Department of Nephrology Department of Pediatrics The University of Missouri Wayne State University School of Medicine Columbia, Missouri 65211 Member, Division of Nephrology Children's Hospital of Michigan JOEL W NOVAK, M.S. 3901 Beaubien Blvd. Data Coordinating Center Detroit, Michigan 48201 National CAPD Registry The Emmes Corporation Potomac, Maryland 20854

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During the past decade, there has been a renaissance of interest in the use of peritoneal dialysis as a primary dialytic modality for the treatment of children with end stage renal disease (ESRD). The development of the technique of continuous ambulatory peritoneal dialysis (CAPD) and continuous cyc
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