Clinical experience with continuous flow and flow-through peritoneal dialysis

Richard Amerling, Luca DeSimone, Rosa Inciong-Reyes, Amy Pangilinan, Tom Folden, Claudio Ronco, Frank A. Gotch, Nathan Levin

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Concern over the inherent inefficiency of solute removal by conventional peritoneal dialysis (PD) has led to renewed interest in continuous flow PD (CFPD). We present clinical data from two experiences with CFPD. In the first, two catheters were used to recirculate a fixed intraperitoneal volume through an external circuit comprised of a standard hemodialysis system. The second patient had a dual-lumen PD catheter and was studied during two sessions of flow-through PD (FTPD) using sterile PD solution. Urea clearances with both techniques were around 30 ml/min, which is consistent with data reported in the literature. Significant streaming of dialysate from port to port within the peritoneal cavity limited clearances. CFPD offers a potentially safe and effective alternative to daily or nightly home hemodialysis.

Original languageEnglish
Pages (from-to)388-390
Number of pages3
JournalSeminars in Dialysis
Volume14
Issue number5
DOIs
StatePublished - 2001
Externally publishedYes

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