| Theme | Vascular access -- Creation, management, repair : the individualization based on the standardization | |
|---|---|---|
| Title | Conversion from hemodialysis to peritoneal dialysis | |
| Publish Date | 2014/02 | |
| Author | Narushi Yokota | Department of Kidney Disease, Kawashima Hospital |
| Author | Kenji Tsuchida | Department of Kidney Disease, Kawashima Hospital |
| [ Summary ] | The background of patients who require hemodialysis has changed over time. This is because the number of patients with underlying conditions such as aging, diabetic renal failure, and renal sclerosis has increased. Accordingly, preparing hemodialysis vascular access (VA) or performing reconstruction will increase in difficulty along with the number of associated risk factors. In these cases, some patients may choose to convert from hemodialysis (HD) to peritoneal dialysis (PD). Such conversion offers the benefit of securing more gradual dialysis to attain stable hemodynamics as compared to HD. However, PD may also lead to dehydration and peritonitis. In this study, we examine PD as an important choice and discuss related difficulties by investigating cases of conversion from HD, including those with VA problems as experienced at our clinic. | |