Noninfectious complications of continuous peritoneal dialysis
- Jean L Holley, MD, FACP
Jean L Holley, MD, FACP
- Clinical Professor of Medicine
- University of Illinois, Urbana-Champaign
- Rebecca J Schmidt, DO, FACP
Rebecca J Schmidt, DO, FACP
- Professor of Medicine
- West Virginia University School of Medicine
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
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- GASTROESOPHAGEAL REFLUX DISEASE AND DELAYED GASTRIC EMPTYING
- Gastroesophageal reflux disease
- - Treatment
- Delayed gastric emptying
- - Treatment
- Intraperitoneal pressure and gastroesophageal problems in peritoneal dialysis patients
- BACK PAIN
- PLEURAL EFFUSION DUE TO PLEUROPERITONEAL LEAK
- Clinical characteristics
- PAIN ON DIALYSATE INFUSION
- ELECTROLYTE ABNORMALITIES
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS