Actualités en dialyse péritonéale

Ryckelynck, Jean-Philippe; Lobbedez, Thierry; Ficheux, Maxence; Bonnamy, Cécile; Haggan, Waël El; Henri, Patrick; Châtelet, Valérie; Levaltier, B.; Ligny, Bruno Hurault de

doi:10.1016/j.lpm.2007.04.038

Cited by 4 publications

(2 citation statements)

References 36 publications

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“…Au cours des 30 dernières années, la DP a connu de grands progrès techniques, en termes de matériel en créant la connexion à double poche, et le cycleur permettant la réduction du taux d'infections péritonéales. Mais aussi en terme de solutions de dialyse, par la mise à disposition de solutions plus biocompatibles pour une meilleure tolérance, une protection prolongée de la membrane péritonéale et un maintien prolongé de la fonction rénale résiduelle [6,7]. Ce dernier contribue à l'obtention d'un meilleur équilibre hydro-sodique, à la diminution de l'état inflammatoire incriminé dans l'augmentation de la mortalité cardiovasculaire, et à une meilleure survie de la technique [8].…”

Section: Discussionunclassified

Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience

Benbella¹,

guennoun²,

Belrhiti³

et al. 2020

Bull Dial Domic

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Introduction: The choice of dialysis modality has become an important decision that affects not only the country's health policy in the management of chronic end stage renal failure, but also the quality of life of patients and their survival. Peritoneal dialysis is an alternative for the treatment of these patients. The objective of our work is to report the epidemiological, clinical and biological results in the unit of PD, UHC of Rabat and to clarify the obstacles to the development of PD in Morocco. Material and Methods: We conducted a descriptive retrospective study in our PD unit from July 2006 to July 2017, including all patients who were in PD by choice or necessity and enrolled in the French Peritoneal Dialysis Registry (RDPLF). Results: In 10 years, 159 patients were placed in PD, with an average age of 50.44 +/- 17.42 years and a sex ratio of 1.36. The indication for placement of setting in PD was by choice in 34% of the cases, social in 52% and medical in 14% of cases. Mechanical complications were dominated by catheter migrations. Infectious complications were represented by peritonitis, caused by poor of hygiene in 42% of cases. Conclusion: The obstacles to the development of PD are the lack of knowledge of the technique by the patients, as well as the prejudices or myths about the technique.

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Section: Discussionunclassified

Peritoneal Dialysis at Ibn Sina Hospital in Rabat: 10 years’ experience

Benbella¹,

guennoun²,

Belrhiti³

et al. 2020

Bull Dial Domic

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“…Dans notre série, nous avons noté une évolution vers l'amélioration des taux d'hémoglobine après la mise en DP avec un usage des agents stimulants d'érythropoïétine et le recours à la transfusion de culots globulaires chez une des patientes suivies pour drépanocytose. La dénutrition est une complication fréquente en DP [3] et c'est ce montre notre série avec une albuminémie souvent au-dessous des objectifs.…”

Section: Recrutement Et Prise En Chargeunclassified

Peritoneal dialysis in a Moroccan center: Prevalence and complications

Bahadi

Benbria

Rafik³

et al. 2020

Bull Dial Domic

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: Introduction: Peritoneal dialysis (PD) is as effective as hemodialysis and often provides a better quality of life for patients. Despite this, the replacement therapy remains little established in our country with a prevalence of less than 1% of patients with end-stage renal disease. The objective of this work is to report the development and complications of PD in our center. Patients and methods: This is a retrospective study including all patients on PD between October 2008 and March 2019. We noted their demographic and clinical data at their initiation in peritoneal dialysis and we followed their evolution to discuss infectious and mechanical complications as well as the causes of PD exit. Results: During the study period, 456 patients were admitted for end-stage renal disease. Among these patients, only 28 (6.1%) were put on PD including two diabetics. Their average age was 37.7 years with a sex ratio of 0.8. The average body surface area was 1.59 m² with an average residual renal function of 6.05 ml / min. PD was chosen as the first intention in 20 patients while 8 patients were on hemodialysis. The evolution was marked by a median survival of the technique of 18.5 months characterized by 8 episodes of peritonitis in 4 patients corresponding to a rate of 1 episode over 56 months. Regarding mechanical complications, we noted 9 omentum aspirations, 1 leak in one case and 1 umbilical hernia requiring surgical recovery in a patient. Out of 28 patients, 17 discharges were identified; 10 patients (67%) were transferred to hemodialysis, 4 died and only 3 patients (18%) were transplanted. The final transfer to hemodialysis was related to mechanical complications in 5 cases, loss of ultrafiltration in one case, repeated hydro-sodium overload in one case, peritonitis in one case and social reasons in two cases. Conclusion: PD is an effective technique which preserves residual renal function and quality of life but its prevalence remains low in the order of 6% of patients treated for end-stage renal disease. The complications are dominated in our context by the mechanical complications main cause of final transfer in hemodialysis.

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