Abstract
Ultrafiltration failure (UFF) is a common cause of PD technique failure in children. The cases presented in this chapter illustrate two important causes of UFF: (1) membrane failure secondary to long-term PD and/or repeated peritoneal infections and (2) mechanical PD failure, in this case due to peritoneal disruption. The use of the peritoneal equilibration test to assess the type and extent of UFF is demonstrated. Approaches to prevent and treat UFF are discussed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Warady BA, Am N, Schaefer F. Optimal care of the infant, child, and adolescent on dialysis: 2014 update. Am J Kidney Dis. 2014;64:128–42.
Krediet RT. Ultrafiltration failure. In:Nolph and Gokal’s textbook of peritoneal dialysis. 3rd ed. New York: Springer; 2009. p. 803–61.
Honda M, Warady BA. Long-term peritoneal dialysis and encapsulating peritoneal sclerosis in children. Pediatr Nephrol. 2010;25:75–81.
Saxena R. Pathogenesis and treatment of peritoneal membrane failure. Pediatr Nephrol. 2008;23:695–703.
Schmitt CP, Nau B, Gemulla G, Bonzel KE, Hölttä T, Testa S, Fischbach M, John U, Kemper MJ, Sander A, Arbeiter K, Schaefer F. Effect of the dialysis fluid buffer on peritoneal membrane function in children. Clin J Am Soc Nephrol. 2013;8:108–15.
Warady BA, Feneberg R, Verrina E, et al. Peritonitis in children who receive long-term peritoneal dialysis: a prospective evaluation of therapeutic guidelines. J Am Soc Nephrol. 2007;18:2172–9.
Arbeiter KM, Aufricht C, Mueller T, Balzar E, Prokesch RW. MRI in the diagnosis of a peritoneal leak in continuous ambulatory peritoneal dialysis. Pediatr Radiol. 2001;31:745–7.
Schaefer F, Langenbeck D, Heckert KH, Schärer K, Mehls O. Evaluation of peritoneal solute transfer by the peritoneal equilibration test in children. Adv Perit Dial. 1992;8:410–5.
Warady BA, Alexander SR, Hossli S, Vonesh E, Geary D, Watkins S, Salusky IB, Kohaut EC. Peritoneal membrane transport function in children receiving long-term dialysis. J Am Soc Nephrol. 1996;7:2385–91.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Schaefer, F. (2017). Ultrafiltration Failure in Children Undergoing Chronic PD. In: Warady, B., Schaefer, F., Alexander, S. (eds) Pediatric Dialysis Case Studies. Springer, Cham. https://doi.org/10.1007/978-3-319-55147-0_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-55147-0_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-55145-6
Online ISBN: 978-3-319-55147-0
eBook Packages: MedicineMedicine (R0)