Abstract

THE USE OF PERITONEAL DIALYSIS IN THE MANAGEMENT OF PATIENTS WITH RENAL FAILURE AT INSTITUTE OF KIDNEY DISEASES, PESHAWAR

Peritoneal dialysis (PD) using an ordinary stylet cannula was studied in 253 patients (67% male and 33% female with age ranging from 3-67 years) suffering from renal failure. The study was conducted between January 2007 and December 2012. The procedure was well tolerated by the patients. The desired aims of dialysis including improvement in chemistry were achieved in all surviving (94.5%) cases. Mortality during PD was 5.5% and was related to the underlying causes of renal failure. Peritonitis seen in 30% cases was the commonest complication. Other complications in order of frequency were, hypokalemia (8%), severe hyperglycemia in diabetic patients (6%), and sever hypovolemia (5%), pericatheter leak (5%) and catheter blockage (2%). Perforation of the bowel, a serious complication occurring during insertion of the PD cannula was not seen in any of the cases. It is concluded from the study that PD is a simple and cost effective alternative to hemodialysis and have special advantages in the current set-up of the institute. The objective of our work was to study the results and complications of peritoneal dialysis in light of its efficacy as an alternative form of renal replacement therapy (RRT) to hemodialysis.

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