Peritoneal Resting with Heparinized Lavage Reverses Peritoneal Type I Membrane Failure. A Comparative Study of the Resting Effects on Normal Membranes

Sousa, Emanuel A.; Peso, Gloria del; Álvarez, Laura Giles; Ros, Silvia Algaba; Mateus, Ana; Aguilar, Ana; Selgas, Rafael; Bajo, M. Auxiliadora

doi:10.3747/pdi.2013.00286

Cited by 17 publications

(10 citation statements)

References 22 publications

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“…It may also be an excellent resource for pediatric PD patients, who need high ultrafiltration and also nutrition that could be provided by SCPD with glucose and amino acid solutions (18,19). Also, the low glucose concentrations achieved by SCPD would preserve peritoneal function in the long term, perhaps even improving it in the same way as peritoneal rest (43), but without the need of discontinuing PD.…”

Section: Discussionmentioning

confidence: 99%

A New Method to Increase Ultrafiltration in Peritoneal Dialysis: Steady Concentration Peritoneal Dialysis

et al. 2016

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Section: Discussionmentioning

confidence: 99%

A New Method to Increase Ultrafiltration in Peritoneal Dialysis: Steady Concentration Peritoneal Dialysis

et al. 2016

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“…The question of whether peritoneal rest facilitates recovery of the membrane in patients who have developed UFF has been explored in a recent single-center retrospective study (32). The results suggested that it may have a role in early UFF but not after it has become established.…”

Section: Mwmentioning

confidence: 99%

“…The results suggested that it may have a role in early UFF but not after it has become established. De Sousa et al (32) hypothesized that peritoneal rest may interrupt the process of epidermal-mesenchymal transformation, which is considered to be important in the development of peritoneal membrane change, possibly allowing for its reversal.…”

Section: Mwmentioning

confidence: 99%

A Patient on Peritoneal Dialysis with Refractory Volume Overload

Wilkie¹

2016

Clinical Journal of the American Society of Nephrology

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The management of volume in patients with diabetes on peritoneal dialysis is affected by several factors, including the degree of residual renal function, peritoneal membrane small-solute transport, salt and water intake, blood sugar control, comorbidity, and nutritional status. It requires sequential evaluation of volume status and adjustment of the peritoneal dialysis prescription on the basis of assessments of membrane function and alterations in urine volume. Steps should be taken to preserve residual renal function for as long as possible. Ultimately, in patients who have become anuric and have developed ultrafiltration failure, timely transfer to hemodialysis may be necessary, requiring discussion and planning with the patient.

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“…Furthermore, reports have indicated that the long-term use of icodextrin dialysis fluid (limited to cases of once per day) has gradually resulted in the loss of ultrafiltration [75], so attention must be taken. The implementation of peritoneal resting (d) is not necessarily efficacious for all patients, either; however, there have been many reports on this method, with the oldest going back to the 1990s [76][77][78][79][80][81].…”

Section: Causes Of Ultrafiltration Defects and Countermeasuresmentioning

confidence: 99%

Peritoneal Dialysis Guidelines 2019 Part 1 (Position paper of the Japanese Society for Dialysis Therapy)

et al. 2021

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Approximately 10 years have passed since the Peritoneal Dialysis Guidelines were formulated in 2009. Much evidence has been reported during the succeeding years, which were not taken into consideration in the previous guidelines, e.g., the next peritoneal dialysis PD trial of encapsulating peritoneal sclerosis (EPS) in Japan, the significance of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs), the effects of icodextrin solution, new developments in peritoneal pathology, and a new international recommendation on a proposal for exit-site management. It is essential to incorporate these new developments into the new clinical practice guidelines. Meanwhile, the process of creating such guidelines has changed dramatically worldwide and differs from the process of creating what were “clinical practice guides.” For this revision, we not only conducted systematic reviews using global standard methods but also decided to adopt a two-part structure to create a reference tool, which could be used widely by the society’s members attending a variety of patients. Through a working group consensus, it was decided that Part 1 would present conventional descriptions and Part 2 would pose clinical questions (CQs) in a systematic review format. Thus, Part 1 vastly covers PD that would satisfy the requirements of the members of the Japanese Society for Dialysis Therapy (JSDT). This article is the duplicated publication from the Japanese version of the guidelines and has been reproduced with permission from the JSDT.

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Peritoneal Resting with Heparinized Lavage Reverses Peritoneal Type I Membrane Failure. A Comparative Study of the Resting Effects on Normal Membranes

Abstract: Peritoneal rest induces functional changes in patients with UFF but not in those with no functional abnormalities. This demonstrates that PR works only when abnormal but reversible functional conditions are present. However, the effect is highly dependent on how early PR is applied.

Cited by 17 publications

References 22 publications

A New Method to Increase Ultrafiltration in Peritoneal Dialysis: Steady Concentration Peritoneal Dialysis

A New Method to Increase Ultrafiltration in Peritoneal Dialysis: Steady Concentration Peritoneal Dialysis

A Patient on Peritoneal Dialysis with Refractory Volume Overload

Peritoneal Dialysis Guidelines 2019 Part 1 (Position paper of the Japanese Society for Dialysis Therapy)

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