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Prevention of membrane damage in patient on peritoneal dialysis with new peritoneal dialysis solutions

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Abstract

Peritoneal dialysis (PD) is now an established and successful alternative to hemodialysis. Multiple studies have confirmed its equivalent dialysis adequacy, mortality and fluid balance status, at least for the first 4–5 years. Peritoneal membrane failure is now one of the leading cause of technique failure. This review describes the role of glucose, glucose degradation product, pH, lactate, advanced glycosylation end product (AGE) in causing this membrane damage, and gives insight how the use of newer peritoneal dialysis fluids (PDFs) containing icodextrin, amino acids and bicarbonate buffer can prevent peritoneal membrane damage.

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  1. Department of Nephrology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada, m5b2e8

    Mufazzal Ahmad, Hemal Shah, Theodori Pliakogiannis & Dimitrios G. Oreopoulos

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  1. Mufazzal Ahmad
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  2. Hemal Shah
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Ahmad, M., Shah, H., Pliakogiannis, T. et al. Prevention of membrane damage in patient on peritoneal dialysis with new peritoneal dialysis solutions. Int Urol Nephrol 39, 299–312 (2007). https://doi.org/10.1007/s11255-006-9064-y

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