Can sonographic peritoneal thickness be used to follow pediatric patients on peritoneal dialysis? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-01-09

AUTHORS

Aysun Caltik, Sare Gülfem Akyüz, Mehmet Bülbül, Gökçe Çinar, Özlem Erdogan, Gülay Demircin

ABSTRACT

BackgroundPeritoneal dialysis (PD) is an effective and successful therapy for end-stage renal disease (ESRD). However, PD does not have a life-long effectiveness, and peritoneal membrane failure is commonly observed in long-term PD patients. We hypothesized that ultrasonography could be used to follow these patients.MethodsWe recruited two patient groups (age range 3–18 years), of whom 20 had ESRD with ongoing PD for ≥24 months (study group) and 20 were pre-dialysis non-ESRD patients (control group). None of the patients had peritonitis during the preceding 3 months, and none had a history of abdominal surgery or malignancy. We measured the sonographic thickness of the parietal peritoneum and obtained Doppler indices of the superior mesenteric artery (SMA) by trans-abdominal ultrasonography.ResultsPeritoneal thickness as determined by sonography was significantly greater in the PD group than in the controls. The correlation between duration of PD and thickness of the peritoneal membrane was linear and statistically significant. We categorized all 20 patients as either rapid transporters or slow transporters for both creatinine and glucose. The peritoneal membranes of patients who were rapid transporters for both creatinine and glucose were significantly thicker than those of the slow transporters. No statistical difference was found between the Doppler indices of the SMA between the groups.ConclusionThickness of the parietal peritoneum as determined by sonography is associated with PD duration and transport characteristics. We conclude that ultrasonography is a non-invasive and practical method which can be useful for following PD patients. More... »

PAGES

811-817

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-012-2389-0

DOI

http://dx.doi.org/10.1007/s00467-012-2389-0

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https://app.dimensions.ai/details/publication/pub.1006620653

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23299234


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