What is Peritoneal Dialysis or PD Dialysis ?

How does Peritoneal Dialysis differ from Hemodialysis?


Peritoneal dialysis is an alternative to hemodialysis.

In hemodialysis, the end stage renal disease patient's blood is removed through a fistula or catheter, the blood is run through a dialysis machine containing the exchange fluid, called dialysate, and then the cleansed blood is returned to the patient through the fistula or catheter.

Peritoneal dialysis takes advantage of the lining that stretches around the organs in the abdomen, and around the inside of the abdominal cavity itself. This abdominal wall lining is a type of membrane, called the peritoneal membrane. Salts, sugar and fluid can pass through this membrane between the abdominal cavity and the blood circulation of the organs.

In PD, the dialyzing fluid or dialysate, is infused into the abdominal cavity through a permanently inserted catheter. Waste products flow from the organs' circulation into the abdominal cavity and then the dialysate is removed and replenished.

Peritoneal dialysis can be performed continuously (CAPD or Continuous Ambulatory Peritoneal Dialysis) or at night alone.

One of the complications of peritoneal dialysis is an infection introduced through the catheter. This infection of the abdominal cavity is called peritonitis.

The choice of type of dialysis, whether peritoneal or hemodialysis, is a decision made mutually by the patient with ESRD and the patient's providers, taking into account lifestyle factors as well as the patient's response to dialysis and overall medical condition.

Updates and Research Publications on Peritoneal Dialysis | PD Dialysis

Peritoneal Dialysis Patients Have Higher Prevalence of Gastrointestinal Symptoms Than Hemodialysis Patients

Karen Salamon, Julie Woods, Eldho Paul, Catherine Huggins
Journal of Renal Nutrition - 28 May 2012 (10.1053/j.jrn.2012.02.007)

Temporal Trends in Peritonitis Rates, Microbiology and Outcomes: The Major Clinical Complication of Peritoneal Dialysis.


Rocha A, Rodrigues A, Teixeira L, Carvalho MJ, Mendonça D, Cabrita A.
Nephrology Department, CHP-Hospital Santo Antonio, Porto, Portugal.
Blood Purif. 2012 May 10;33(4):284-291. [Epub ahead of print]

Risk factors and outcome of contamination in patients on peritoneal dialysis 

Desmond Y. Yap, Wai Ling Chu, Flora Ng, Terence P. Yip,  Sing L. Lui, and Wai K. Lo

Perit Dial Int pdi.2011.00268; published ahead of print June 1, 2012
doi:10.3747/pdi.2011.00268

Author Interview: Dr. Neil C Boudville

Recent Peritonitis Associates with Mortality among Patients Treated with Peritoneal Dialysis

J Am Soc Nephrol. 2012 May 24. [Epub ahead of print]

Boudville N, Kemp A, Clayton P, Lim W, Badve SV, Hawley CM, McDonald SP, Wiggins KJ, Bannister KM, Brown FG, Johnson DW.

*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia

Author Interview: Sijie Zheng MD

Death Within 90 Days: Comparison of Mortality Rate Between Hemodialysis and Peritoneal Dialysis Patients

NKF Spring 2012 Abstract Presentation:
Sijie Zheng, Lue-Yen Tucker, David Law, Juan Ordonez. Kaiser Oakland Medical Center,
Division of Research, Oakland, California, USA

Author Interview: Dr Li szu-yuan on behalf of Dr Chen TW.

Mesenteric Ischemia in Patients with End-Stage Renal Disease: A Nationwide Longitudinal Study

Am J Nephrol 2012;35:491-497 (DOI: 10.1159/000338451)
Li S-Y, Chen Y-T, Chen T-J, Tsai L-W, Yang W-C, Chen T-W:

Author Interview: Kerri Cavanaugh, MD MHS
Rural and Micropolitan Residence and Mortality in Patients on Dialysis

  • Saugar Maripuri, Patrick Arbogast, T. Alp Ikizler, and Kerri L. Cavanaugh

    CJASN
     CJN.10831011; published ahead of print April 19, 2012,doi:10.2215/CJN.10831011

Learn about dialysis options from a Home Dialysis Therapy Nurse: “YOU’RE NEVER TOO OLD”

Author: Christina Brooks BSN, RN
Home Therapies Nurse

So, you’ve just left your doctor’s office and your head is full of information, too much information! Words , numbers, medical terms you just don’t understand. Maybe this has been happening  gradually over a period of years or suddenly out of the blue.  Your doctor has just told you that you have kidney disease or kidney failure. Acute! Chronic! CKD! ESRD! STAGE 4! Stage 5! GFR! Oh my, what is the doctor talking about? This can’t be happening to me! I can’t live without my kidneys, can I? Does this mean that I’m going to die? I refuse to be tied to a machine and have needles stuck in me. I’m probably too old for a transplant. They give kidneys to young people, not someone like me. What am I going to do now? I thought I had the rest of my life ahead of me. Looks like it’s all over now.....

Read Rest of Article............

Author Interview: Prof. Daniela Ponce

High Volume Peritoneal Dialysis in Acute Kidney Injury:
Indications and Limitations

Ponce D, Berbel MN, Almeida CTP, Goes CR, Balbi AL.
In press. Clin J Am Soc Nephrol 2012; 7: doi 10.2215/CJN.11131111

Author Interview: Christine Shea, RN

Management of Peritoneal Dialysis Post Ventral Hernia Repair with Mesh

Christine Crandell, CCHT; Jay Seltzer, MD; Michelle Hofmann, RN, BSN, CNN

Annual Dialysis Conference 2012

Author Interview: Scott E. Liebman, MD, MPH
Differences Between Dialysis Modality Selection and Initiation

Scott E. Liebman, David A. Bushinsky, James G. Dolan, Peter Veazie 
American Journal of Kidney Diseases - 10 February 2012 (10.1053/j.ajkd.2011.11.040)

Author Interview: Arsh Jain MD FRCPC

Global Trends in Rates of Peritoneal Dialysis

Arsh K. Jain, Peter Blake, Peter Cordy, and Amit X. Garg
JASN Feb 2, 2012 ASN.2011060607; published ahead of print February 2, 2012
doi:10.1681/ASN.2011060607

ASN 2011 Abstract Authors' Interview:

Outcomes of Peritonitis in Incident Peritoneal Dialysis Patients.

Eduardo Lacson, Jr., MD, Nien-Chen Li, MS, Raymond Hakim, MD, Michael Lazarus, MD,
Frank Maddux, MD, Joseph Pulliam, MD. Fresenius Medical Care, Waltham, MA.

Author Interview: Dr. Sarbjit Vanita Jassal
A Randomized Controlled Trial Comparing Mupirocin and Polysporin Triple Ointments in Peritoneal Dialysis Patients: The MP3 Study


McQuillan RF, Chiu E, Nessim S, Lok CE, Roscoe JM, Tam P, Jassal SV.
University Health Network, Toronto, Canada;
Clin J Am Soc Nephrol. 2011 Dec 1.
Author Interview: Dr Kai Ming Chow, MBChB, FRCP

Peritoneal Dialysis as the First-line Renal Replacement Therapy in Patients With Autosomal Dominant Polycystic Kidney Disease

Lin Li, Cheuk-Chun Szeto, Bonnie Ching-Ha Kwan, Kai-Ming Chow, et al.
June 2011 American Journal of Kidney Diseases Vol. 57, Issue 6, Pages 903-907

Author Interview: Dr. Aysun Pabuççuolu
Oxidative and Nitrosative Stress Markers in Patients on Hemodialysis and Peritoneal Dialysis.

Köse FA, Sezi M, Akçiçek F, Pabuççuolu A.
Department of Biochemistry, Faculty of Pharmacy,
Bornova, zmir, Turkey

Author Interview: Dr.Paraskevi Theofilou
Quality of Life in Patients Undergoing Hemodialysis or Peritoneal Dialysis Treatment


J Clin Med Res. 2011 May 19; 3(3): 132–138
Paraskevi Theofilou, Department of Psychology, Panteion University, Eratous 12, 14568, Athens, Greece.

Author Interview: Dr. Florence Sens

Survival advantage of hemodialysis relative to peritoneal dialysis in patients with end-stage renal disease and congestive heart failure.

Sens F, Schott-Pethelaz AM, Labeeuw M, Colin C, Villar E.
Kidney Int. 2011 Jul 20. doi: 10.1038/ki.2011.233.
1] Department of Nephrology, Hospices Civils de Lyon, Lyon-Sud University Hospital, Pierre Benite, France [2] Pole IMER des Hospices Civils de Lyon, Lyon, France.

Author Interview: Dr. Rajnish Mehrotra
Association of Hemoglobin and Survival in Peritoneal Dialysis Patients


Miklos Z. Molnar, Rajnish Mehrotra, Uyen Duong, Csaba P. Kovesdy,
 and Kamyar Kalantar-Zadeh
CJASN July 22, 2011 CJN.010502
Author Interview : Kleyton de Andrade Bastos, M.D.
on behalf of all authors and the BRAZPD study group

Family Income and Survival in Brazilian Peritoneal Dialysis Multicenter Study Patients (BRAZPD): Time to Revisit a Myth?

Clin J Am Soc Nephrol. 2011 Jun 23.
de Andrade Bastos K, Qureshi AR, Lopes AA, Fernandes N, Barbosa LM, Pecoits-Filho R, Divino-Filho JC; on behalf of the Brazilian Peritoneal Dialysis Multicenter Study (BRAZPD) Group.Federal University of Sergipe, Aracaju, Brazil

Repeat Peritonitis in Peritoneal Dialysis: Retrospective Review of 181 Consecutive Cases.

Clin J Am Soc Nephrol. 2010 Dec 23.

Szeto CC, Ching-Ha Kwan B, et al
Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

Patient Awareness and Initiation of Peritoneal Dialysis.

Arch Intern Med. 2010 Sep 27.

Kutner NG, Zhang R, Huang Y, Wasse H.
Huang, and Wasse and Ms Zhang), Department of Rehabilitation Medicine (Dr Kutner), and Division of Nephrology (Dr Wasse), Emory University, Atlanta, Georgia.

CONTINUOUS AMBULATORY PERITONEAL DIALYSIS VERSUS AUTOMATED PERITONEAL DIALYSIS: RESULTS FROM A USA DATABASE.

Perit Dial Int. 2010 Sep 9.

Cnossen TT, Usvyat L, Kotanko P, van der Sande FM, Kooman JP, Carter M, Leunissen KM, Levin NW.
Division of Nephrology, Department of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.

N-ACETYLCYSTEINE IMPROVES RESIDUAL RENAL FUNCTION IN PERITONEAL DIALYSIS PATIENTS: A PILOT STUDY.

Perit Dial Int. 2010 Aug 12.
Feldman L,
Nephrology, Assaf Harofeh Medical Center, Zerifin, Israel.

THE IMPACT OF TREATMENT MODALITY ON INFECTION-RELATED HOSPITALIZATION RATES IN PERITONEAL DIALYSIS AND HEMODIALYSIS PATIENTS.

Perit Dial Int. 2010 Jul 29.
Williams VR et al
Infection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

Outcome of Hemodialysis Patients Who Had Failed Peritoneal Dialysis.

Nephron Clin Pract. 2010 Jul 16;116(4):c300-c306.
Szeto CC, et al
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, SAR, China.

Cardiovascular risk in the peritoneal dialysis patient.

Nat Rev Nephrol. 2010 Jun 22.
Krediet RT, Balafa O.

HEMOGLOBIN AND PLASMA VITAMIN C LEVELS IN PATIENTS ON PERITONEAL DIALYSIS.

Perit Dial Int. 2010 Jun 17.
Finkelstein FO, et al
New Haven CAPD, Hospital of St. Raphael, Yale University, New Haven, United States.

Plasma Volume, Albumin, and Fluid Status in Peritoneal Dialysis Patients.
Clin J Am Soc Nephrol. 2010 Jun 10.
John B, et al

Inflammation in Peritoneal Dialysis
Nephron Clin Pract. 2010 May 12;116(1):c11-c18.
Lai KN, Leung JC.
Division of Nephrology, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong, SAR, China.

The Pathophysiology of the Peritoneal Membrane.
J Am Soc Nephrol. 2010 May 6

Devuyst O, Margetts PJ, Topley N.
Division of Nephrology, Université catholique de Louvain Medical School, Brussels, Belgium;


CHANGES IN BODY FAT MASS IN PATIENTS AFTER STARTING PERITONEAL DIALYSIS.
Peritoneal Dialysis Int. 2010 May 6.
Choi SJ, Kim NR, Hong SA, Lee WB, Park MY, Kim JK, Hwang SD, Lee HK.
Internal Medicine, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon-si, Korea, Republic of.



 

 


 
 
 
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