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. 2002 Mar;43(2):170-4.
doi: 10.1080/028418502127347709.

Continuous ambulatory peritoneal dialysis

O I Karahan  1 , H Taşkapan, B Tokgöz, A Coşkun, C Utaş, M Güleç
Affiliations

Continuous ambulatory peritoneal dialysis

O I Karahan et al. Acta Radiol. 2002 Mar.

Abstract

Purpose: To assess complications of continuous ambulatory peritoneal dialysis (CAPD) in uremic patients with and without clinical symptoms by CT peritoneography.

Material and methods: A total of 64 patients with end-stage renal disease and on continuous CAPD were investigated. Twenty-eight had some clinical symptoms, which might be related to the complications of CAPD. Thirty-six patients had no complaints or symptoms due to the dialysis treatment.

Results: CT peritoneography revealed various complications including hernias (50%), dialysate leakage (46%), localized fluid collection (4%) and peritoneal adhesions (4%) in the patients who had clinical symptoms that might be related to the dialysis treatment. Moreover, similar complications were found in the asymptomatic patients at a lower rate: hernia (3%), dialysate leakage (17%), peritoneal adhesions (3%) and abdominal wall laxity (3%). Complication detection rate by CT peritoneography was 68% (n=19) in the symptomatic patients and 22% (n=8) in the asymptomatic patients. The number of complications found in each group was significant.

Conclusion: CT peritoneography was an effective modality in detecting complications from CAPD in patients with and without clinical symptoms.

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