Peritoneal Resting and Heparinization as an Effective Treatment for Ultrafiltration Failure in Patients on CAPD

Miranda, Blanca; Selgas, Rafael; Celadilla, Q.; Muñoz, J. M.; Sicilia, L. Sánchez

doi:10.1159/000419767

Cited by 28 publications

(16 citation statements)

References 0 publications

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“…Since 1987, we have treated our patients with UF loss with a period of PR (7). This period consists of a discontinuation of PD for 4 weeks, during which time the patient is maintained on hemodialysis through a temporary central venous catheter.…”

Section: Methodology and Results Of Peritoneal Restingmentioning

confidence: 99%

Managing Ultrafiltration Failure by Peritoneal Resting

Selgas¹,

Bajo

Castro

et al. 2000

Perit Dial Int

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Section: Methodology and Results Of Peritoneal Restingmentioning

confidence: 99%

Managing Ultrafiltration Failure by Peritoneal Resting

Selgas¹,

Bajo

Castro

et al. 2000

Perit Dial Int

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“…The benefits of peritoneal rest in restoring peritoneal permeability and adequate UF have been reported by several clinicians during the past two decades [18][19][20] . De Alvaro et al [20] performed 25 peritoneal resting periods of 1 month in 16 patients with UF failure (7 patients required two and 1 patient required three resting periods).…”

Section: Discussionmentioning

confidence: 99%

Case Report of Encapsulating Peritoneal Sclerosis: The Interpretation of Functional and Structural Peritoneal Changes

Díaz-Buxó

2008

Blood Purif

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A case report describing the evolution of encapsulating peritoneal sclerosis is presented to illustrate some of the functional and structural peritoneal membrane changes characteristic of this complication of peritoneal dialysis. The appropriate monitoring of peritoneal transport rates and ultrafiltration, together with attention to clinical signs and symptoms, are essential to the early diagnosis of peritoneal membrane deterioration. Recent reports suggest that timely interventions such as a peritoneal membrane rest period may effectively halt the progression of these functional and structural changes. While the optimal surgical and pharmacological treatment of encapsulating peritoneal sclerosis remains uncertain, the latest literature provides a certain degree of optimism.

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“…We have found that a useful new tool for the management of severe Type I UF failure is peritoneal rest. Twelve of our 256 patients required 18 four-week peritoneal rest periods to recover ultrafiltration capacity (25,26). This method has proved effective in controlling ultrafiltration loss in cases of peritoneal hyperpermeability, both chronic and acute, allowing some spectacular recoveries of ultrafiltration capacity.…”

Section: Daily Protein Lossmentioning

confidence: 99%