Complications of Peritoneal Dialysis

Low-cost system of peritoneal dialysis.

“…Bacterial peritonitis, ! connecta frequent problem during chronic dialysis r is made programmes(Ribot et al, 1966;Cohen and oving the Percival, 1968) did not occur in any of our Larily used patients. In three widely separated instances a transient rise in temperature was accompanied by moderate abdominal tenderness.…”

Intraperitoneal Insulin for Control of Blood Sugar in Diabetic Patients during Peritoneal Dialysis

“…Boyer et al (1967) noted that after three one-hour exchanges in nondiabetic patients 32.4 g of glucose was absorbed from 1.5% glucose solution. Even in patients with a normal carbohydrate tolerance pronounced rises in blood glucose can occur and may result in significant extracellular fluid hyperosmolarity and non-ketoacidotic coma (Hutchings et al, 1966;Ribot et al, 1966;Boyer et al, 1967). Our first case illustrates the problem in the management of diabetes mellitus during peritoneal dialysis. Urine glucose determinations are of no value and frequent blood glucose evaluations are required.…”

“…A number of persons with diabetes mellitus and secondary renal failure undergo peritoneal dialysis while awaiting haemodialysis and renal transplantation. Hyperglycaemia is a frequent and troublesome complication of peritoneal dialysis in these patients (Ribot et al, 1966;Chazan et al, 1969). To avoid this we have added insulin to the dialysate.…”

New Acute Peritoneal Dialysis Technique: Wire-Guide Insertion and Long-Term Indwelling of Peritoneal Catheter

“…Only minor bleeding occurred in 7 of 37 (less than 20%). Ribot et al [1] reported the signifi cantly increased incidence of hemorrhage with the use of larger catheters. This suggests that the bleeding is related to the size of the abdominal wound.…”

“…Three kinds of access devices to the peritoneal cavity have been general ly used: trocar method, stylet catheter method and surgi cal insertion. Each of them has some complications and problems such as bleeding, leakage, perforation of viscus or high incidence of peritonitis (table I) [1][2][3][4][5].…”