The removal of solute and water for the management of kidney failure with peritoneal dialysis (PD) is achieved by exposing the naturally occurring peritoneal lining of the abdomen to 6 to 15 L of dialysate every day. It is widely…
Repeated instillation and drainage of dialysate during the course of peritoneal dialysis (PD) is a unique clinical situation, which infrequently draws attention to primary intra-abdominal events. These events are often unrelated to the PD treatment itself but are brought to…
Introduction Peritoneal dialysis (PD) hydrothorax is a well-described, albeit uncommon, complication of PD. It results from movement of PD fluid from the peritoneal cavity to the pleural space across the diaphragm. It was first reported in 1967 by Edwards and…
Introduction Dialysis fluid leakage is a noninfectious complication of peritoneal dialysis, with reported incidence rates varying from 1% to 40%. Leaks are the result of egress of peritoneal dialysis fluid from the peritoneal cavity through defects created either during the…
Complications related to peritoneal dialysis (PD) can be categorized as infectious or noninfectious. Noninfectious complications, including abdominal hernias, catheter malfunction, and exit site leaks, occur in continuous ambulatory PD (CAPD), continuous cycling PD/automated PD (CCPD/APD), and intermittent PD (IPD). More…
Peritoneal dialysis (PD) is the modality of kidney replacement therapy in about 15% of the dialysis population worldwide. Despite the advances in technology and antibiotic therapy, peritonitis remains a major cause of technique failure and morbidity in PD patients. Although…
Introduction Peritoneal dialysis (PD)–related infections, including peritonitis, exit site infections, and tunnel infections, remain an important cause of morbidity and technique failure. While peritonitis is usually the most frequent and morbid event among the infectious complications, exit site and tunnel…
The success of peritoneal dialysis (PD) as kidney replacement therapy for end-stage kidney disease and acute kidney injury relies upon a functional access to the peritoneal space for exchange of water and solutes. This access represents a controlled cutaneoperitoneal fistula…
Introduction Among patients receiving kidney replacement therapy, it is well established that persistent volume overload is associated with higher mortality. In peritoneal dialysis (PD) patients specifically, the Initiative of Patient Outcomes in Peritoneal Dialysis (IPOD-PD) study is a large prospective…
Introduction One of the primary purposes of peritoneal dialysis (PD) is to clear solutes that are normally removed by the kidney. In this chapter, we will discuss the determinants of solute clearance, how to measure and evaluate it, and how…