4. COMPLICATIONS OF LONG-TERN DIALYSIS: OVERVIEW AND TREATMENT OF COMPLICATIONS IN LONG-TERM PERITONEAL DIALYSIS
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概要
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Loss of ultrafiltration (UF loss) is a major cause of discontinuing long-term peritoneal dialysis. The peritoneal angiogenesis is assumed to cause peritoneal hyperpermeability, and result in UF loss. Factors affecting peritoneal angiogenesis are peritonitis, dialysis failure, chronic inflammation, and bio-incompatibility of dialysis solutions. The new solutions (such as Glucose polymercontaining solutions, neutralized solutions) are anticipated to ameliorate UF loss. Encapsulating peritoneal sclerosis (EPS) is the most serious complication of continuous ambulatory peritoneal dialysis. It is thought to be most important to anticipate UF loss for prevention of EPS.
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