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Nephrol Dial Transplant (2001) 16: 2296-2299
© 2001 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Continuous flow peritoneal dialysis (CFPD): a glimpse into the future

Jutta Passlick-Deetjen1, and Eduard Quellhorst2

1 Fresenius Medical Care, Bad Homburg and 2 Nephrologic Centre Niedersachsen, Hann. Muenden, Germany

Keywords: continuous flow peritoneal dialysis

Background

After years of controversy, there is increasing information that—at least during the first 2–3 years—survival on CAPD is slightly better than on haemodialysis [1–3]. The main shortcoming of CAPD is its limited efficacy when residual renal function deteriorates. Once renal function is lost the efficacy of CAPD is limited first by anatomical constraints, mainly peritoneal surface area and mesenteric blood flow to the peritoneal membrane and second, the ratio of body weight to peritoneal surface area. These factors are beyond the control of the physician.

If one wishes to increase the efficacy of CAPD this can be done only by increasing and optimizing two further parameters: increasing the intraperitoneal volume per exchange and the rate of exchange. With conventional catheters and conventional exchange technology a feasible upper limit is soon reached. It is here that in the . . . [Full Text of this Article]

The kinetics of PD and theoretical basis of CFPD

Studies on CFPD

Conclusion

Notes

References


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