Prognosis of Patients on Continuous Ambulatory Peritoneal Dialysis (CAPD) for Over 10 Years
スポンサーリンク
概要
- 論文の詳細を見る
Background Patients who have been on continuous ambulatory peritoneal dialysis (CAPD) for over 10 years are known to have a risk of developing encapsulating peritoneal sclerosis (EPS). However, the prognosis of patients on CAPD for over 10 years remains unclear. Methods To better understand the efficacy of a variety of treatments for EPS, we retrospectively reviewed 25 patients who started CAPD at Toranomon Hospital from 1981 to 1997 and continued it for longer than 10 years. Results The CAPD catheter was removed without peritoneal lavage in the initial 3 patients and they developed massive ascites. They all died of infection without resolution of the ascites. Accordingly, in the remaining 13 patients who did not undergo kidney transplantation, peritoneal lavage therapy was performed for 12 months before removing the CAPD catheter. As a result, 4 patients did not develop EPS. However, 9 patients had EPS with ascites, among whom 4 died of EPS-related diseases and 5 are alive. Five patients underwent cadaveric donor kidney transplantation. At the time of surgery, the CAPD catheter was removed without peritoneal lavage; 1 patient suffered from massive ascites immediately, although this subsided within 3 months after kidney transplantation, and 4 patients remain free from EPS-related symptoms and are doing well. Conclusion Kidney transplantation may be an option for preventing EPS. This study showed that improvement of the uremic state as well as treatment with immunosuppressants including corticosteroids may contribute to preventing EPS.
著者
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Sawa Naoki
Nephrology Center Toranomon Hospital
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Higa Yasushi
Nephrology Center Toranomon Hospital
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Suwabe Tatsuya
Nephrology Center Toranomon Hospital
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Ubara Yoshifumi
Nephrology Center Toranomon Hospital
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Takaichi Kenmei
Nephrology Center Toranomon Hospital
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YAMANOUCHI Masayuki
Nephrology Center, Toranomon Hospital
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Hayami Noriko
Nephrology Center Toranomon Hospital Kajigaya
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Hoshino Junichi
Nephrology Center Toranomon Hospital
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Marui Yuji
Nephrology Center Toranomon Hospital Kajigaya
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Hiramatsu Rikako
Nephrology Center Toranomon Hospital Kajigaya
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Tomikawa Shinji
Nephrology Center Toranomon Hospital
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Nakamura Michio
Nephrology Center Toranomon Hospital
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Sumida Keiichi
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Hasegawa Eiko
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Hasegawa Eiko
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Toyohara Takafumi
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Nagasawa Motonori
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Yamanouchi Masayuki
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Yamanouchi Masayuki
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Nagasawa Motonori
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Marui Yuji
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Marui Yuji
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Sawa Naoki
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Ubara Yoshifumi
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Ubara Yoshifumi
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Sumida Keiichi
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Hayami Noriko
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Hiramatsu Rikako
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Suwabe Tatsuya
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Suwabe Tatsuya
Nephrology Center and Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan
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Hayami Noriko
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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Higa Yasushi
Nephrology Center, Toranomon Hospital Kajigaya, Japan
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