Non-infectious complications of continuous ambulatory peritoneal dialysis and their impact on technique survival

• Published in: Indian journal of nephrology 2011-04, Vol.21 (2), p.112-115
• Main Authors: Prakash, J, Singh, L K Sharatchandra, Shreeniwas, S, Ghosh, B, Singh, T B
• Format: Article
• Language: English
• Subjects: Ambulatory care; Care and treatment; Chronic kidney failure; Clinical outcomes; Continuous ambulatory peritoneal dialysis; Diabetic nephropathies; Health aspects; Nephrology; Original; Peritoneal dialysis; Risk factors
• ISSN: 0971-4065; 1998-3662
• DOI: 10.4103/0971-4065.82125

Data on non-infectious complications of continuous ambulatory peritoneal dialysis (CAPD) are sparingly reported from different centres of the country. We studied the non-infectious complications in patients of end stage-renal disease (ESRD) undergoing CAPD. Double-cuffed straight catheter was inserted in all patients using the surgical method and CAPD was started on the 15(th) day of catheter insertion. The nature of non-infectious complications was noted during follow-up in these patients. Forty-five (male 31, female 14) patients with the mean age of 54.5±11.6 years were studied. Diabetic nephropathy was the most common (59.5%) cause of ESRD. Overall, non-infectious complications were noted in 18/45 (40%) cases. Ultrafiltration failure was the most common (15.5%) followed by incisional hernia (6.6%), exit site leak (4.4%), hydrothorax (4.4%), catheter malposition (4.4%), scrotal swelling (2.2%) and hemoperitoneum (2.2%). Patients with ultrafiltration failure were either shifted to hemodialysis or underwent renal transplantation. The remaining (62%) non-infectious complications did not affect the catheter survival and CAPD could be continued. Non-infectious complications occurred in 40% of our CAPD patients and ultrafiltration failure was the most common (15.5%). A majority (62%) of the complications did not affect catheter survival.