Comprehensive management of renal failure in infants. Arch Surg 1990 Oct;125(10):1276-81
Date
10/01/1990Pubmed ID
2121118DOI
10.1001/archsurg.1990.01410220060009Scopus ID
2-s2.0-0025066296 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
From 1986 through 1989, 23 infants (18 of whom were less than 30 days old) required peritoneal dialysis within their first 6 months of life. Modifications to conventional peritoneal dialysis included modified Silastic Tenckhoff catheters, peel-away sheaths for percutaneous insertion, automated peritoneal dialysis "cyclers," and generous omentectomy. With these modifications, there were no bowel perforations, and the infants were successfully dialyzed for prolonged periods. Eight of the 23 infants developed end-stage renal failure and were prepared for transplantation. All had gastrostomy tubes placed to supplement oral nutrition. Living, related transplantation was performed when the child weighted 10 kg. Four of the eight completed this protocol. One child with congenital nephrotic syndrome died before transplantation. One transplant was complicated by a technical problem (venous thrombosis), which resulted in allograft loss and return to peritoneal dialysis. Kidney function, growth, and development in the survivors were excellent.
Author List
Tapper D, Watkins S, Burns M, Hickman RO, Avner EAuthor
Ellis D. Avner MD Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Catheters, IndwellingEnteral Nutrition
Equipment Design
Gastrostomy
Humans
Infant
Infant, Newborn
Intubation
Kidney Failure, Chronic
Kidney Transplantation
Omentum
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory
