Details

Autor(en) / Beteiligte

• Selgas, Rafael
• Bajo, M.-Auxiliadora
• Del Peso, Gloria
• Sanchez-Villanueva, Rafael
• Gonzalez, Elena
• Romero, Sara
• Olivas, Elena
• Hevia, Covadonga

Titel

PERITONEAL DIALYSIS IN THE COMPREHENSIVE MANAGEMENT OF END-STAGE RENAL DISEASE PATIENTS WITH LIVER CIRRHOSIS AND ASCITES: PRACTICAL ASPECTS AND REVIEW OF THE LITERATURE

Ist Teil von

• Peritoneal dialysis international, 2008-03, Vol.28 (2), p.118-122

Ort / Verlag

United States

Erscheinungsjahr

2008

Quelle

MEDLINE

Beschreibungen/Notizen

• REDinREN (Spanish Renal Research Network) and Hospital Universitario La Paz, Madrid, Spain Correspondence to: R. Selgas, Servicio de Nefrología, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain. rselgas.hulp{at}salud.madrid.org The treatment of cirrhotic patients with ascites and end-stage renal disease is complex, due mainly to decreased effective arterial volume and hemodynamic instability. Peritoneal dialysis as a continuous therapy represents an alternative to hemodialysis-related intolerance. We report on our experience and that of others with cirrhotic patients with ascites treated by peritoneal dialysis. Hemodynamic tolerance was excellent in all patients and solute and water peritoneal transport increased to above the normal range in almost all cases. Morbidity and mortality were related principally to liver disease and other comorbidities. Peritoneal protein losses, initially high, decreased over time, maintaining serum albumin within the low normal range. The incidence of peritonitis was similar or slightly higher than usual in these patients, with peculiar etiology. The experiences with peritoneal dialysis suggest consideration of this treatment as the first choice for cirrhotic patients with ascites and that need to start dialysis. KEY WORDS: Ascites; liver cirrhosis; end-stage renal disease. Received 11 November 2007; accepted 14 January 2008.