Chronic peritoneal dialysis in children

Abstract

The incidence of end-stage renal disease in children is increasing. Peritoneal dialysis (PD) is the modality of choice in many European countries and is increasingly applied worldwide. PD enables children of all ages to be successfully treated while awaiting the ultimate goal of renal transplantation. The advantages of PD over other forms of renal replacement therapy are numerous, in particular the potential for the child to lead a relatively normal life. Indications for commencing PD, the rationale, preparation of family, technical aspects, and management of complications are discussed.

Keywords:

• end-stage renal disease
• chronic peritoneal dialysis
• renal replacement therapy
• pediatric

Acknowledgments

Many thanks to Mr Alun Williams, Consultant Pediatric Urologist and Transplant Surgeon, for advice on the section related to laparoscopic-assisted insertion of peritoneal dialysis catheters.

Disclosure

The authors report no conflicts of interest in this work.