Experience with End-Stage Renal Disease Treatment of Young Children
The optimal treatment of young children with irreversible renal insufficiency remains controversial, and there is a paucity of data about end-stage renal disease (ESRD) therapy in this age group. Once ESRD develops, the technical capability exists to initiate either hemodialysis or peritoneal dialysis. Although there are minimal data validating the efficacy of long-term intermittent peritoneal dialysis (IPD) or continuous ambulatory peritoneal dialysis (CAPD) in young children, it would seem advantageous to consider IPD preferentially in young children. This preference should be considered because of the minimal amount of technical expertise required to implement IPD and the paucity of technical problems, especially problems related to access devices. It must be emphasized that limited data are available about the course of dialysis in young children.
KeywordsYoung Child Renal Transplantation Peritoneal Dialysis Renal Allograft Continuous Ambulatory Peritoneal Dialysis
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