Affiliation:
1. From the Division or Nephrology, Toronto Western Hospital and Department or Medicine, University or Toronto
Abstract
After five years on CAPD, 10 patients continued to enjoy a good sense of well being and a reasonable quality of life. More women than men survive on CAPD. After 60 months or more of CAPD, the peritoneal membrane continues to function efficiently, both with regards to dialysis of solutes and ultrafiltration of water. Long-term CAPD patients are at risk of developing vitamin B12 deficiency and should receive regular supplements of this vitamin before clinical manifestations develop. Dally administration of I mg of folic acid gives adequate replacement of such losses during peritoneal dialysis. In spite of vitamin D supplementation and phosphate binders, osteitis fibrosa persisted in these patients and they suffered a gradual loss of bone mineral mass. More frequent use of calcium carbonate as phosphate binder and calcium supplement may minimize this complication. Hypertension is well controlled after initiation of CAPD, but recurs after four to five years of this treatment. We conclude that long term CAPD is feasible and that, with reduction in drop-out rates, more patients will remain on this treatment for long periods.
Subject
Nephrology,General Medicine
Reference7 articles.
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