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Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study

Authors
 Ji Eun Kim  ;  Se Jin Park  ;  Ji Young Oh  ;  Ji Hong Kim  ;  Jae Seung Lee  ;  Pyung Kil Kim  ;  Jae Il Shin 
Citation
 YONSEI MEDICAL JOURNAL, Vol.56(5) : 1359-1364, 2015 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2015
Keywords
Peritoneal dialysis ; noninfectious complication ; children
Abstract
PURPOSE: The aim of this study was to investigate noninfectious complications of peritoneal dialysis (PD), including mechanical and metabolic complications, at a single center in Korea. MATERIALS AND METHODS: We analyzed data from 60 PD patients aged ≤18 years (40 boys and 20 girls) during the period between 1986 and 2012. The collected data included gender, age, causes of PD, incidence of noninfectious complications, and treatment for the complications. RESULTS: The mean duration of PD therapy was 28.7±42.1 months (range 1-240 months). The most common cause of end-stage renal disease was glomerular disease (43.3%). There were no statistically significant differences between patients with and without mechanical complications regarding gender, age at the start of PD, and total duration of PD. Outflow failure was the most common catheter-related complication (14.3%), followed by leakage (10.0%) and hernia (8.6%). Metabolic complications, such as hyperglycemia and hypokalemia, were observed in three of 16 patients. The frequency of noninfectious complications of PD in our study was comparable with those in previous pediatric studies. PD was switched to hemodialysis (HD) in only three patients. CONCLUSION: Our results indicate that noninfectious complications of PD are common, though they hardly lead to catheter removal or HD in pediatric patients on PD.
Files in This Item:
T201504080.pdf Download
DOI
10.3349/ymj.2015.56.5.1359
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Pyung Kil(김병길)
Kim, Ji Hong(김지홍) ORCID logo https://orcid.org/0000-0001-5352-5423
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
Oh, Ji Young(오지영) ORCID logo https://orcid.org/0000-0003-3552-8465
Lee, Jae Seung(이재승)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141624
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