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Noninfectious complications of continuous peritoneal dialysis

Jean L Holley, MD, FACP
Rebecca J Schmidt, DO, FACP
Section Editor
Thomas A Golper, MD
Deputy Editor
Alice M Sheridan, MD


Some of the noninfectious complications that occur in patients on continuous peritoneal dialysis (eg, continuous ambulatory peritoneal dialysis [CAPD] and continuous cycler peritoneal dialysis [CCPD]) are due to increased intra-abdominal pressure resulting from instillation of dialysate into the peritoneal cavity. These include hernia formation, leaks (including hydrothorax or pleuroperitoneal leaks), local edema, back pain, and gastrointestinal problems, such as gastroesophageal reflux and delayed gastric emptying (see "Abdominal hernias in continuous peritoneal dialysis" and "Noninfectious complications of peritoneal dialysis catheters"). Complications of CAPD/CCPD not specifically related to intra-abdominal pressure include hemoperitoneum, pain on infusion of dialysate, electrolyte imbalances, and ultrafiltration failure.

Some of these problems will be reviewed here, including:

Gastroesophageal reflux and delayed gastric emptying

Back and abdominal pain

Pleural effusion

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Literature review current through: Nov 2017. | This topic last updated: Aug 17, 2017.
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