Renal Transplantation in Patients Undergoing Chronic Peritoneal Dialysis

1996 ◽  
Vol 16 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Miguel Perez Fontán ◽  
Ana Rodríguez-Carmona ◽  
Teresa García Falcon ◽  
Javier Moncalián ◽  
Juan Oliver ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
Graft Function ◽  
Delayed Graft Function ◽  
Chronic Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Renal Allografts ◽  
The One ◽  
Renal Transplantations ◽  
Similar Incidence

Objective To review the outcome of renal transplantation in a group of patients treated with chronic peritoneal dialysis and to compare the results with those of a matched population on hemodialysis. Design Retrospective study. Setting Tertiary, institutional hospital, administering to a population of two million, with 100 patients on peritoneal dialysis. Six hundred and sixty renal transplantations were performed by the end of 1993. Patients Fifty-six patients on chronic peritoneal dialysis who received 58 cadaveric renal allografts were compared to 58 patients on hemodialysis who received a graft from the same donor (n = 39), or the transplant next to the one performed to the corresponding patient on peritoneal dialysis (n = 19). Results Patients on peritoneal dialysis showed a lower rate of delayed graft function (24.1 vs 50%, p < 0.05) and a similar incidence of acute rejection than patients on hemodialysis. Also, peritoneal dialysis patients received less supplementary immunosuppression, suffered a lower incidence of late infections (0.93 vs 0.58 episodes/patient), and had a similar incidence of dialysis-related complications (0.25 vs 0.20 episodes/patient). Conclusions Patients on peritoneal dialysis do well after renal transplantation. The incidence of some complications, particularly delayed graft function, is lower than in patients on hemodialysis, while the incidence of dialysis-associated complications is similar in both groups.

scholarly journals Should peritoneal dialysis catheters be removed at the time of kidney transplantation?

2012 ◽  
Vol 6 (5) ◽  
Author(s):  
Jeff Warren ◽  
Emily Jones ◽  
Alp Sener ◽  
Martin Drage ◽  
Ali Taqi ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Kidney Transplantation ◽  
Renal Transplantation ◽  
Graft Function ◽  
Delayed Graft Function ◽  
Catheter Removal ◽  
Complication Rates ◽  
Failure Rates ◽  
Post Transplant

Background: Delayed graft function (DGF) following transplantationnecessitates support in the form of hemodialyis (HD) orperitoneal dialysis (PD). However, post-transplant PD-related complicationand failure rates are unknown.Methods: We studies patients who were on PD at the time of kidneytransplantation over a 4-year period at two separate institutions.Results: Of the 137 PD patients, 19 had their catheters removedat the time of transplant. Of the remaining 118 patients, 89% hadimmediate graft function. PD-related complications in this groupincluded peritonitis (n=5), catheter-related infections (n=2) andemergency laparotomy (n=1). Of the 15 patients requiring posttransplantPD, 33% developed peritonitis and 20% had fluid-leaksnecessitating HD. Overall, leaving a PD catheter in situ post- transplantationis associated with 7% rate of peritonitis versus 0% ifremoved (p < 0.05).Conclusions: PD catheter removal should be considered at thetime of renal transplantation, as postoperative PD-related failure/complication rates are high.

Role of Oxidative Stress in Renal Transplantation: Bases for an n-3 PUFA Strategy Against Delayed Graft Function

2017 ◽  
Vol 24 (14) ◽  
Author(s):  
Camilo G. Sotomayor ◽  
Ignacio Cortés ◽  
Juan Guillermo Gormaz ◽  
Sergio Vera ◽  
Matías Libuy ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Renal Transplantation ◽  
Graft Function ◽  
Delayed Graft Function

Overview of blood purification in uremia

1980 ◽  
Vol 3 (4) ◽  
pp. 203-208
Author(s):  
B.T. Burton
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
Rejection Rate ◽  
Blood Purification ◽  
Maintenance Hemodialysis ◽  
Dialysis Patients ◽  
Transplant Patients ◽  
Maintenance Dialysis ◽  
Transplanted Kidneys

Today, management of irreversible renal failure is based primarily on maintenance hemodialysis and renal transplantation with a growing minority of patients treated by peritoneal dialysis. With regard to renal transplantation — the early promise of renal transplantation in the mid 1960's has given way to the realities of the late 1970's. There have been no major changes in the rejection rate of transplanted kidneys in recent years though today's mortality of transplant patients is considerably reduced over what it used to be. Moreover, universally the lack of availability of a sufficient number of organs for transplantation poses a formidable problem. It is all too apparent that current methods of blood purification in uremia are far from optimal. Even though the mortality in maintenance dialysis is relatively low, hemodialysis is characterized by a variety of complications and most maintenance dialysis patients are not optimally rehabilitated.

scholarly journals Diagnostic potential of serum biomarkers for left ventricular abnormalities in chronic peritoneal dialysis patients

2009 ◽  
Vol 24 (6) ◽  
pp. 1962-1969 ◽  
Author(s):  
A. Y.-M. Wang ◽  
C. W.-K. Lam ◽  
M. Wang ◽  
I. H.-S. Chan ◽  
S.-F. Lui ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Left Ventricular ◽  
Serum Biomarkers ◽  
Chronic Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Diagnostic Potential

ASSOCIATION OF GRAFT NEUTROPHIL SEQUESTRATION WITH DELAYED GRAFT FUNCTION IN CLINICAL RENAL TRANSPLANTATION

2004 ◽  
Vol 77 (12) ◽  
pp. 1821-1826 ◽  
Author(s):  
Arto J. Turunen ◽  
Leena Lindgren ◽  
Kaija T. Salmela ◽  
Lauri E. Kyll??nen ◽  
Heikki M??kisalo ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Graft Function ◽  
Delayed Graft Function ◽  
Neutrophil Sequestration

scholarly journals Incidence, Microbiological Spectrum and Outcomes of Infective Peritonitis in Chronic Peritoneal Dialysis Patients

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Sood Vivek ◽  
Kumar Vivek ◽  
Ramachandran Raja ◽  
Gupta Shefali ◽  
Gautam Vikas ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Chronic Peritoneal Dialysis ◽  
Dialysis Patients

scholarly journals The Diagnosis of Protein Energy Wasting in Chronic Peritoneal Dialysis Patients Is Influenced by the Method of Calculating Muscle Mass. A Prospective, Multicenter Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Cristina Techy Roth-Stefanski ◽  
Naiane Rodrigues de Almeida ◽  
Gilson Biagini ◽  
Natália K. Scatone ◽  
Fabiana B. Nerbass ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Muscle Mass ◽  
Chronic Peritoneal Dialysis ◽  
Dialysis Patients ◽  
Protein Energy Wasting ◽  
Protein Energy ◽  
Multifrequency Bioimpedance ◽  
Study Population ◽  
The Mean ◽  
Main Factor

Objective: To analyze the concordance and agreement between bioimpedance spectroscopy (BIS) and anthropometry for the diagnosis of protein energy wasting (PEW) in chronic peritoneal dialysis patients.Methods: Prospective, multi-center, observational study using multifrequency bioimpedance device (Body Composition Monitor -BCM®- Fresenius Medical Care) and anthropometry for the diagnosis of PEW as recommended by the International Society of Renal Nutrition and Metabolism (ISRNM). Cohen's kappa was the main test used to analyze concordance and a Bland-Altmann curve was built to evaluate the agreement between both methods.Results: We included 137 patients from three PD clinics. The mean age of the study population was 57.7 ± 14.9, 47.8% had diabetes, and 52.2% were male. We calculated the scores for PEW diagnosis at 3 and 6 months after the first collection (T3 and T6) and on average 40% of the study population were diagnosed with PEW. The concordance in the diagnosis of PEW was only moderate between anthropometry and BIS at both T3 and T6. The main factor responsible for our results was a low to moderate correlation for muscle mass in kilograms, with an r-squared (R2) of 0.35. The agreement was poor, with a difference of more than 10 kg of muscle mass on average and with more than a quarter of all cases beyond the limits of agreements.Conclusion: Current diagnosis of PEW may differ depending on the tools used to measure muscle mass in peritoneal dialysis patients.

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