| [ Summary ] |
Children with end-stage renal disease (ESRD) are treated either using renal transplantation (Tx), hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD). CAPD is preferred for infants but older children can be treated by using either HD or CAPD. Renal Tx is believed to be the best treatment of the three for growing children, with ESRD. However, treatment using CAPD and withholding early renal Tx and long-term CAPD treatment is a common practice in treating Japanese children with ESRD. Current recognition of sclerosing encapsulating peritonitis (SEP), one of the major complications of long-term CAPD, prompted us to perform earlier renal Tx in Japan. Renal Tx should be done before puberty for the sake of growth after renal Tx. |