| [ Summary ] |
Children with end-stage renal disease (ESRD) are treated either with renal transplantation (Tx), hemodialysis(HD)or continuous ambulatory peritonealdialysis (CAPD). CAPD is preferred for small infants, but older children can be treated with HD or CAPD. Renal Tx is believed to be the best treatment among these for growing children with ESRD. However, adequate treatment with CAPD by withholding early renal Tx and long-term CAPD treatment is a common practice for Japanese children with ESRD. The current recognition of sclerosing encapsulating peritonitis, as one of the major complications of long-term CAPD has prompted us to perform earlier renal Tx in Japan. |