Peritoneal Infections, Hernias and Related Complications

  • Ram Gokal


Ever since the introduction of peritoneal dialysis in the management of renal failure, complications related to the technique, in particular peritonitis and access related problems, have bedevilled its wider use and acceptance. Even after the introduction of CAPD in 1976 (1) and the subsequent technical and other advances, these problems still remain the Achilles heel of peritoneal dialysis therapy. They account for considerable morbidity, hospitalisation and therapy change to haemodialysis and indeed remain pre-eminent areas of research to try and minimise these complications. This chapter addresses the topic of peritoneal infections (peritonitis, exit site and tunnel infections, sclerosing peritonitis) and hernia and related complications. Problems related to peritoneal access are addressed in a related chapter


Peritoneal Dialysis Peritoneal Dialysis Patient Catheter Removal Exit Site Nasal Carriage 
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  1. 1.
    Popovich RP, Moncrief JW, Decherd JB, Bomar JB, Pyle WK: The definition of a novel portable/wearable equilibrium peritoneal dialysis technique. Abstr Am Soc Artif Intern Organs 5: 64, 1976Google Scholar
  2. 2.
    Seligman AM, Frank HA, Fine J: Treatment of experimental uremia by means of peritoneal irrigation. J Clin Invest 25: 11, 1946Google Scholar
  3. 3.
    Doolan PD, Murphy WP, Wiggins RA et al.: An evaluation of intermittent peritoneal lavage. Am J Med 26: 831, 1959PubMedGoogle Scholar
  4. 4.
    Weston RE, Roberts M: Clinical use of stylet-catheter for peritoneal dialysis. Arch Intern Med 115: 659, 1965PubMedGoogle Scholar
  5. 5.
    Cohen SL, Percival A: Prolonged peritoneal dialysis in patients awaiting renal transplantation. Br Med J 1: 409, 1968PubMedGoogle Scholar
  6. 6.
    Leigh DA: Peritoneal infections in patients on long term peritoneal dialysis before and after human cadaveric renal transplantation. J Clin Path 22: 539, 1959Google Scholar
  7. 7.
    Palmer RA, Quinton WE, Gray JE: Prolonged peritoneal dialysis for chronic renal failure. Lancet 1: 700, 1964PubMedGoogle Scholar
  8. 8.
    Tenckhoff H, Schecter H: A bacteriologically safe peritoneal access device. Trans Am Soc Artif Intern Organs 14: 181, 1968PubMedGoogle Scholar
  9. 9.
    Tenckhoff H, Curtis FK: Experience with maintenance peritoneal dialysis in the home. Trans Am Soc Artif Intern Organs 16: 90, 1970PubMedGoogle Scholar
  10. 10.
    Brewer TE, Caldwell FT, Patterson RM, Flanigan WJ: Indwelling peritoneal dialysis catheter — experience with 24 patients. JAMA 219: 1001, 1972Google Scholar
  11. 11.
    Lankisch PG, Tonnis HJ, Fernandez-Redo E et al.: Use of Tenckhoff catheter for peritoneal dialysis in terminal renal failure. Br Med J 4: 712, 1973PubMedCrossRefGoogle Scholar
  12. 12.
    Devine H, Oreopoulos DG, Izatt S, Mathew R, deVeber GA: The permanent Tenckhoff catheter for chronic peritoneal dialysis. Can Med Assos J 113: 219, 1975Google Scholar
  13. 13.
    Popovich RP, Moncrief JW, Nolph KD, Ghods AJ, Twardowski ZJ, Pyle WK: Continuous ambulatory peritoneal dialysis. Ann Intern Med 88: 449, 1978PubMedGoogle Scholar
  14. 14.
    Oreopoulos DG, Robson M, Izatt S, Clayton S, deVeber GA: A simple and safe technique for continuous ambulatory peritoneal dialysis (CAPD). Trans Am Soc Artif Intern Organs 24: 84, 1978Google Scholar
  15. 15.
    Oreopoulos DG: CAPD in Canada. Can Med Assos J 120: 16, 1979Google Scholar
  16. 16.
    Rubin J, Rodgers WA, Taylor HM et al.: Peritonitis during continuous ambulatory peritoneal dialysis. Ann Intern Med 92: 7, 1980PubMedGoogle Scholar
  17. 17.
    Gokal R, McHugh M, Fryer R, Ward MK, Kerr DNS: CAPD: one years experience in a UK dialysis unit. Br Med J 280: 474, 1980Google Scholar
  18. 18. Editorial: Peritoneal dialysis in chronic renal failure. Lancet 2: 303, 1978Google Scholar
  19. 19.
    Shaldon S: A cynical critique of CAPD. in Continuous Ambulatory Peritoneal Dialysis, edited by Legrain M, Amsterdam, Excerpta Medica, 1980, p 137Google Scholar
  20. 20.
    Buoncristiani C, Bianci P, Cozzani M et al.: A new safe simple connection system for CAPD. Int J Urol Nephrol 1: 45, 1980Google Scholar
  21. 21.
    Maiorca R, Cantaluppi A, Cancarini GC et al.: Prospective controlled trial of a Y connector and disinfectant to prevent peritonitis in CAPD. Lancet 2: 642, 1983PubMedGoogle Scholar
  22. 22.
    Canadian CAPD Clinical Trials Group: Peritonitis in CAPD: a multi-center randomised clinical trial comparing the Y connector disinfectant system to standard systems. Perit Dial Int 9: 159, 1989Google Scholar
  23. 23.
    Viglino G, Cantaluppi A, Gandolfo C, Peluso F, Cavalli PL: Y-set evolution, in Peritoneal Dialysis, edited by La Greca G et al., Milan, Wichtig Editore, 1991, p 281Google Scholar
  24. 24.
    VI Catheter related factors and peritonitis risk in CAPD patients. USRDS 1992 Annual Report. Am J Kidney Dis 20(Suppl 2): 48, 1993Google Scholar
  25. 25.
    Mion C, Slingeneyer A, Canuad B: Peritonitis, in Continuous Ambulatory Peritoneal Dialysis, edited by Gokal R, Edinburgh, Churchill Livingstone, 1986, p 163Google Scholar
  26. 26.
    Diaz-Buxo JA, Suki WN: Automated peritoneal dialysis, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD, Dordrecht, Kluwer Academic Publishers, 1994, p 399Google Scholar
  27. 27.
    Vas SI: Microbiological aspects of chronic ambulatory peritoneal dialysis. Kidney Int 23: 83, 1983PubMedGoogle Scholar
  28. 28.
    Vas SI, Duwe A, Weatherhead J: Natural defence mechanisms of the peritoneum: the effect of peritoneal dialysis fluid on polymorphonuclear cells, in Peritoneal Dialysis, edited by Atkins R, Thomson N, Farrell PC, Edinburgh, Churchill Livingstone, 1981, p 41Google Scholar
  29. 29.
    Williams P, Khanna R, Vas SI et al.: The treatment of peritonitis in CAPD patients: to lavage or not? Perit Dial Bull 1: 12, 1980Google Scholar
  30. 30.
    Keane W, Comty CM, Verbrugh HA, Peterson PK: Opsonic deficiency of peritoneal dialysis effluent in CAPD. Kidney Int 25: 539, 1984PubMedGoogle Scholar
  31. 31.
    Pierratos A: Peritoneal dialysis glossary. Perit Dial Bull 4: 2, 1984Google Scholar
  32. 32.
    Fenton SS, Wu G, Cattran D, Wadgymar A, Allen RF: Clinical aspects of peritonitis in patients on CAPD. Perit Dial Bull 1(Suppl 1): S4, 1981Google Scholar
  33. 33.
    Keane WF, Vas SI: Peritonitis, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD, Dordrecht, Kluwer Academic Publishers, 1994, p 473Google Scholar
  34. 34.
    Grodstein GP, Blumenkrantz MJ, Kopple JD: Effect of intercurrent illnesses on nitrogen metabolism in uremic patients. Trans Am Soc Artif Intern Organs 25: 438, 1979PubMedGoogle Scholar
  35. 35.
    Slingeneyer A, Mion C, Beraud JJ, Oules R, Branger B, Balmes M: Peritonitis, a frequently lethal complication of intermittent and continuous ambulator peritontal dialysis. Proc EDTA 18: 212, 1981Google Scholar
  36. 36.
    Vas SI: Peritonitis during CAPD: a mixed bag. Perit Dial Bull 1: 47, 1981Google Scholar
  37. 37.
    Betjes MGH, Tuk CW, Zemel D, Krediet RT, Arisz L, Beelen, RH: Analysis of the peritoneal celluar system during CAPD shortly before a clinical peritonitis. Nephrol Dial Transplant 9: 684, 1994PubMedGoogle Scholar
  38. 38.
    Gokal R, Ramos JM, Ward MK, Kerr DNS: ‘Eosiftophilic peritonitis’ in CAPD, Clin Nephrol 15: 328, 1981PubMedGoogle Scholar
  39. 39.
    Digenis GE, Khanna R, Pantalony D: Eosinophllia after implantation of the peritoneal catheter. Perit Dial Bull 2: 98, 1982Google Scholar
  40. 40.
    Nassberger L: Eosinophilic peritonitis — hypothesis. Nephron 46: 103, 1987PubMedGoogle Scholar
  41. 41.
    Salgia P, Manos J, Gokal R: Cutaneous manifestations heralding eosinophilic peritonitis. Perit Dial Bull 4: 265, 1984Google Scholar
  42. 42.
    Sombolos K, Vas S, Rifkin O et al.: Propioni-bacteria isolates and asymptomatic infections of the peritoneal effluent in CAPD patients. Nephrol Dial Transplant 1: 175, 1986PubMedGoogle Scholar
  43. 43.
    Williams PS, Hendry MS, Ackeril P: Routine daily surveillance cultures in the management of CAPD patients. Perit Dial Bull 7: 183, 1987Google Scholar
  44. 44.
    Eisenberg ES, Ambalu M, Szylagi G, Aning V, Soeiro R: Colonisation of skin and development of peritonitis due to coagulase negative staphylococci in patients undergoing peritoneal dialysis. J Inf Dis 156: 478, 1987Google Scholar
  45. 45.
    Leahy TJ, Sullivan MJ, Slingeneyer A, Mion C: The efficiency of microbial retention by peritoneal dialysis filters. Trans Am Soc Artif Int Organs 26: 225, 1980Google Scholar
  46. 46.
    Davies RR, Noble WC: Dispersal of bacteria on desquamated skin. Lancet 2: 1295, 1962PubMedGoogle Scholar
  47. 47.
    Parsons F, Ahmed-Jusuf IH, Brownjohn AM et al.: CAPD peritonitis. Lancet 1: 348, 1983Google Scholar
  48. 48.
    Twardowski ZJ, Dobbie JW, Moore HL et al.: Morphology of peritoneal dialysis catheter tunnel. 1. Microscopy and light microscopy. Perit Dial Int 11: 152, 1991Google Scholar
  49. 49.
    Gloor HJ, Nichols WK, Sorkin MI et al.: Peritoneal access and related complications in CAPD. Am J Med 74: 593, 1983PubMedGoogle Scholar
  50. 50.
    Schweinburg FB, Seligman AM, Fine J: Transmural migration of intestinal bacteria. A study based on the use of radioactive E Coli. N Eng J Med 242: 747, 1950CrossRefGoogle Scholar
  51. 51.
    Wu G, Khanna R, Vas S, Oreopoulos DG: Is extensive diverticulosis of the colon a contraindication to CAPD? Perit Dial Bull 3: 180, 1983Google Scholar
  52. 52.
    Abrutyn E, Goodhart GI, Roos K, Anderson R, Buxton A: Acinetobacter outbreak associated with peritoneal dialysis. Am J Epidemiol 107: 328, 1985Google Scholar
  53. 53.
    Gokal R, Manos J, Walker C, Mallick N: Peritonitis related to defective CAPD equipment. Lancet 2: 382, 1982PubMedGoogle Scholar
  54. 54.
    Stewart WK, Anderson DC, Wilson MI: Hazards of peritoneal dialysis: contaminated fluid. Brit Med J 254: 606, 1967Google Scholar
  55. 55.
    Gokal R, Ash S, Helfrich GB et al.: Peritoneal catheters and exit site practices: towards optimum peritoneal access. Perit Dial Int 13: 29, 1993PubMedGoogle Scholar
  56. 56.
    Rottembourg J, Gahl GM, Poignet JL et al.: Severe abdominal complications in patients undergoing CAPD. Proc EDTA 20: 457, 1983Google Scholar
  57. 57.
    Kiddy K, Brown PP, Michael J, Adu J: Peritonitis due to streptococcus viridans in patients receiving CAPD. Brit Med J 290: 969, 1985Google Scholar
  58. 58.
    Coronel F, Maranjo P, Torrente J, Prats D: The risk of retrograde menstruation in women undergoing CAPD. Peril Dial Bull 4: 190, 1984Google Scholar
  59. 59.
    Coward RA, Gokal R, Wise M, Mallick NP, Warrell D: Peritonitis associated with vaginal leak of dialysis fluid in CAPD. Brit Med J 284: 1529, 1982Google Scholar
  60. 60.
    Diaz-Buxo J, Burgess P, Walker PJ: Peritoneo-vaginal fistula: an unusual complication of peritoneal dialysis. Perit Dial Bull 3: 142, 1983Google Scholar
  61. 61.
    Stuck A, Seiler A, Frey FJ: Peritonitis due to an intrauterine contraceptive device in a patient on CAPD. Perit Dial Bull 7: 105, 1986Google Scholar
  62. 62.
    Young JB, Ahmed-Yusuf IH, Brownjohn AH et al.: Opportunistic peritonitis in CAPD. Clin Nephrol 22: 268, 1984PubMedGoogle Scholar
  63. 63.
    Fenton P: Laboratory diagnosis in patients undergoing CAPD. J Clin Path 35: 1181, 1982PubMedGoogle Scholar
  64. 64.
    Gould IM, Casewell MW: The laboratory diagnosis of peritonitis during CAPD. J Hosp Infect 7: 155, 1986PubMedGoogle Scholar
  65. 65.
    Ludlam H, Dickens A, Simpson A, Phillips I: A comparison of four culture methods for diagnosing infection in CAPD. J Hosp Infect 16: 263, 1990PubMedGoogle Scholar
  66. 66.
    Ludlam HA, Price TN, Berry AJ, Phillips I: Laboratory diagnosis of peritonitis in patients on CAPD. J Clin Microbiol 26: 1757, 1988PubMedGoogle Scholar
  67. 67.
    Keane WF, Everett ED, Golper TA et al.: Peritoneal dialysis related peritonitis — treatment recommendations 1993 update. Perit Dial Int 13: 14, 1993PubMedGoogle Scholar
  68. 68.
    Von Graevenitz A, Amsterdam D: Microbiological aspects of peritonitis associated with CAPD. Clin Microbiol Rev 5: 26, 1992Google Scholar
  69. 69.
    Peer G, Serban I, Blum M, Cabili S, Iaina A: Early diagnosis of gram-negative peritonitis in CAPD patients with the Lymulus amebocyte lysate assay. Am J Nephrol 12: 19, 1992PubMedGoogle Scholar
  70. 70.
    Bowman RA, Medley AS, Karthigasu KT: Limulus amoebocyte lysate assay in the diagnosis of peritonitis in patients receiving CAPD. J Clin Path 45: 72, 1992PubMedGoogle Scholar
  71. 71.
    Males BM, Walshe JJ, Garringer L, Koscinski D, Amsterdam D: Addi-Chek filtration, Bactec, and 10ml culture methods for the recovery of microorganisms from dialysis effluent during episodes of peritonitis. J Clin Microbiol 23: 350, 1986PubMedGoogle Scholar
  72. 72.
    Williams P, Pantalony D, Vas SI, Khanna R, Oreopoulos DG: The value of dialysate cell count in the diagnosis of peritonitis in patients on CAPD. Perit Dial Bull 1: 59, 1981Google Scholar
  73. 73.
    Gruer LD, Bartlett R, Aycliffe AJ: Species identification and antibiotic sensitivity of coagulase negative staphyloccoci from CAPD peritonitis. J Antibiotic Chemother 13: 577, 1984Google Scholar
  74. 74.
    Read RR, Eberwein P, Dasgupta MK et al.: Peritonitis in peritoneal dialysis: bacterial colonisation by biofilm spread along the catheter surface. Kidney Int 35: 614, 1989PubMedGoogle Scholar
  75. 75.
    Dasgupta MK, Costerton JW: Significance of biofilmadherent bacterial microcolonies on Tenckhoff catheters of CAPD patients. Blood Purif 7: 144, 1989PubMedGoogle Scholar
  76. 76.
    Kapral FA, Goodwin JR, Dye ES: Formation of intraperitoneal abscesses by staphylococcus aureus. Infec Immun 30: 204, 1980Google Scholar
  77. 77.
    Gregory MC, Duffy DP: Toxic shock following staphylococcal peritonitis. Clin Nephrol 20: 101, 1983PubMedGoogle Scholar
  78. 78.
    Kim D, Tapson J, Wu G et al.: Staphylococcus aureus peritonitis in patients on CAPD. Trans Am Soc Artif Int Organs 30: 494, 1984.Google Scholar
  79. 79.
    Pierard D, Cauwers S, Mouton MC, Sennasael J, Verbeelen D: Group JK Corynebacterium peritonitis in a patient undergoing CAPD. J Clin Microbiol 18: 1111, 1983Google Scholar
  80. 80.
    Leung ACT, Orange G, Henderson IS, Kennedy AC: Diphteroid peritonitis associated with CAPD. Clin Nephrol 22: 200, 1984PubMedGoogle Scholar
  81. 81.
    Chan MK, Chan PC, Cheng IP, Chan CY, Ng WS: Pseudomonas peritonitis in CAPD patients: characteristics and outcome of treatment. Nephrol Dial Transplant 4: 814, 1989PubMedGoogle Scholar
  82. 82.
    Gokal R, Ramos M, Francis D et al.: Peritonitis in CAPD. Lancet 2: 1388, 1982PubMedGoogle Scholar
  83. 83.
    Piraino B, Bernadini J, Sorkin M: A five-year study of the microbiologic results of exit site infections and peritonitis in CAPD. Am J Kidney Dis 10: 281, 1987PubMedGoogle Scholar
  84. 84.
    Ahijado F, Luno J, Soto I et al.: Tuberculous peritonitis in patients on CAPD. Contrib Nephrol 89: 79, 1991PubMedGoogle Scholar
  85. 85.
    Cheng IK, Chan PC, Chan MK: Tuberculous peritonitis complicating long term peritoneal dialysis. Report of 5 cases and review of the literature. Am J Nephrol 9: 155, 1989PubMedGoogle Scholar
  86. 86.
    Morfurd DW: High index of suspicion for tuberculous peritonitis in CAPD patients. Perit Dial Bull 2: 189, 1982Google Scholar
  87. 87.
    Kerr CM, Perfect JR, Craven PC et al.: Fungal peritonitis in patients on CAPD. Ann Intern Med 99: 334, 1983PubMedGoogle Scholar
  88. 88.
    Tapson JS, Mansy H, Freeman R, Wilkinson R: The high morbidity of CAPD fungal peritonitis — description of 10 cases and review of treatment strategies. Quart J Med 61: 1047, 1986PubMedGoogle Scholar
  89. 89.
    Khanna R, McNeely DJ, Oreopoulos DG, Vas SI, McCready W: Treating fungal infections: fungal peritonitis in CAPD. Brit Med J 280: 1147, 1980PubMedCrossRefGoogle Scholar
  90. 90.
    Coles GA, Lewis SL, Williams JD: Host defence and effects of solutions on peritoneal cells, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD, Dordrecht, Kluwer Academic Publishers, 1994, p 503Google Scholar
  91. 91.
    Van Bronswijk H, Verbrugh HA, Heezius EZ et al.: Host defence in CAPD treatment: the effect of the dialysate on cell function. Contrib Nephrol 85: 67, 1990PubMedGoogle Scholar
  92. 92.
    Coles GA, Alobaidi H, Topley N, Davies M: Opsonic activity of dialysis effluent predicts those at risk of staphylococcal peritonitis. Nephrol Dial Transplant 2: 359, 1987PubMedGoogle Scholar
  93. 93.
    Stein S, Brenchleyy P, Manos J, Pumphrey R, Gokal R: Opsonising capacity of peritoneal fluid and the relationship to peritonitis in CAPD patients, in Frontiers in Peritoneal Dialysis, edited by Maher JF, Winchester JF, New York, Field Rich, 1986, p 565Google Scholar
  94. 94.
    De Vecchi A, Castelnovo C, Failla N, Scalamonga A: Clinical significance of peritoneal dialysate IgG levels in CAPD patients. Adv Perit Dial 6: 98, 1990 682PubMedGoogle Scholar
  95. 95.
    Anwar N, Hutchison A, Manos J, Uttley L, Brenchley P, Gokal R: Peritoneal dialysate IgG/C3 levels do not predict peritonitis. Perit Dial Int. In pressGoogle Scholar
  96. 96.
    Alobaidi HM, Coles GA, Davies M, Lloyd D: Host defence in CAPD: the effect of the dialysate on phagocyte function. Nephrol Dial Transplant 1: 16, 1986PubMedGoogle Scholar
  97. 97.
    de Fijter CWH, Verbrugh HA, Peters ED et al.: In vivo exposure to the currently available peritoneal dialysis fluids decreases the function of peritoneal macrophages in CAPD. Clin Nephrol 39: 75, 1993PubMedGoogle Scholar
  98. 98.
    Lewis SL, Young SA, Wood BJ, Morgan KS, Erickson DG, Holmes CJ: Relationship between frequent episodes of peritonitis and altered immune status. Am J Kidney Dis 22: 456, 1993PubMedGoogle Scholar
  99. 99.
    Coles GA, Minors SJ, Horton JK, Fifield R, Davies M: Can the risk of peritonitis be predicted for new CAPD patients? Perit Dial Int 9: 69, 1989PubMedGoogle Scholar
  100. 100. Report of a Working Party of the BSAC: Diagnosis and management of peritonitis in CAPD. Lancet 1: 845, 1987Google Scholar
  101. 101.
    Tranaeus A, Heimburger O, Lindholm B: Peritonitis during CAPD: risk factors, clinical severity and pathogenetic aspects. Peritt Dial Int 8: 253, 1988Google Scholar
  102. 102.
    Keane W, Everett ED, Fine RD et al.: CAPD peritonitis — Treatment recommendations (1988 update). Perit Dial Int 9: 247, 1989Google Scholar
  103. 103.
    Ejlersen E, Brandi L, Lokkegard H, Ladefoged J, Kopp R, Haarh P: Is initial (24 hours) lavage necessary in treatment of CAPD peritonitis? Perit Dial Int 11: 38, 1991PubMedGoogle Scholar
  104. 104.
    Harford AM, Sica DA, Tartaglione T, Polk RE, Dalton HP, Poynor W: Vancomycin pharmcokinetics in CAPD patients with peritonitis. Nephron 43: 217, 1986PubMedGoogle Scholar
  105. 105.
    Bastani B, Freer K, Read D et al.: Treatment of gram positive peritonitis with two intraperitoneal doses of vancomycin in CAPD patients. Nephron 45: 283, 1987PubMedGoogle Scholar
  106. 106.
    Levison ME: New dosing regimens for aminoglycoside antibiotics. Ann Int Med 117, 693, 1992PubMedGoogle Scholar
  107. 107.
    Nikolaidis P, Vas S, Lawson V et al.: Is intraperitoneal tobramycin ototoxic in CAPD patients? Perit Dial Int 11: 156, 1991PubMedGoogle Scholar
  108. 108.
    Were AJ, Marsden A, Tooth A, Ramsden R, Mistry CD, Gokal R: Netilmycin and vancomycin in the treatment of peritonitis in CAPD patients. Clin Nephrol 37: 209, 1992PubMedGoogle Scholar
  109. 109.
    Zimmerman SW, Johnson CA: Rimfampicin use in peritoneal dialysis. Perit Dial Int 9: 241, 1989PubMedGoogle Scholar
  110. 110.
    Janknegt I: CAPD peritonitis and fluoroquinolones: a review. Perit Dial Int 11: 53, 1991Google Scholar
  111. 111.
    Waite NM, Johnson MD, Webster NR, Fong IW: Poor response to oral ciprofloxacin in the treatment of peritonitis in patients on intermittent peritoneal dialysis. Perit Dial Int 13: 50, 1993PubMedGoogle Scholar
  112. 112.
    Perez-Fontan M, Rosales M, Femandes F et al.: Ciprofloxacin in the treatment of gram-positive bacterial peritonitis in patients undergoing CAPD. Perit Dial Int 11: 233, 1991PubMedGoogle Scholar
  113. 113.
    Millikan SP, Matze GR, Keane WF: Antimicrobial treatment of peritonitis associated with CAPD. Perit Dial Int 11: 252, 1991Google Scholar
  114. 114.
    Zaruba K, Peters J, Jungbluth H: Successful prophylaxis for fungal peritonitis in patients on CAPD: six years experience. Am J Kidney Dis 17: 43, 1991PubMedGoogle Scholar
  115. 115.
    Taber TE, Hegeman TF, York SM, Kinney RA, Webb DH: Treatment of pseudomonas infections in peritoneal dialysis patients. Perit Dial Int 11: 213, 1991PubMedGoogle Scholar
  116. 116.
    Chong TK, Piraino B, Bernardini J: Vestibulaj toxicity due to gentamicin in peritoneal dialysis patietits. Perit Dial Int 11: 152, 1991PubMedGoogle Scholar
  117. 117.
    Cheng IPK, Fang GX, Chan TM et al.: Fungal peritonitis complicating peritoneal dialysis: report of 27 cases and review of treatment. Q J Med 71: 407, 1989PubMedGoogle Scholar
  118. 118.
    Swartz R, Messana J, Reynolds J, Ranjit U: Simultaneous catheter replacement and removal in refractory peritoneal dialysis infections. Kidney Int 40: 1160, 1991PubMedGoogle Scholar
  119. 119.
    Paterson AD, Bishop M, Morgan AG, Burden RP: Removal and replacement of Tenckhoff cathetar at a single operation: successful treatment of resistant peritonitis in CAPD. Lancet 2: 1245, 1986PubMedGoogle Scholar
  120. 120.
    Pagniez DC, MacNamara E, Fortin F et al.: Withdrawal of CAPD to treat mild peritonitis. Br Med J 297: 1174, 1988Google Scholar
  121. 121.
    Cairns HS, Becket J, Rudge CJ, Thompson FD, Mansell MA: Treatment of resistant CAPD peritonitis by temporary discontinuation of peritoneal dialysis. Clin Nephrol 32: 27, 1989PubMedGoogle Scholar
  122. 122.
    Nankivell BJ, Lake N, Gillies A: Intracatheter streptokinase for recurrent peritonitis in CAPD. Clin Nephrol 35: 20, 1991PubMedGoogle Scholar
  123. 123.
    Pickering SJ, Fleming SJ, Bowley JA et al.: Urokinase: a treatment for relapsing peritonitis due to coagulase-negative staphylococci. Nephrol Dial Transplant 4: 62, 1989PubMedGoogle Scholar
  124. 124.
    Jones BF, Lake N: Intraperitoneal streptokinase in the treatment of recurrent peritonitis. Perit Dial Bull 9: 352, 1989Google Scholar
  125. 125.
    Tzamaloukas AH: Peritoneal fluid cell counts and cultures in CAPD patients receiving intraperitoneal streptokinase (urokinase) for relapsing peritonitis. Perit Dial Int 9: 143, 1989PubMedGoogle Scholar
  126. 126.
    Dasgupta MK: Use of streptokinase or urokinase in recurrent CAPD peritonitis. Adv Perit Dial 7: 169, 1991PubMedGoogle Scholar
  127. 127.
    Dasgupta MK, Kowalewska-Grochowska K, Larabie M, Costerton JW: Catheter biofilm and recurrent CAPD peritonitis. Adv Perit Dial 7: 165, 1991PubMedGoogle Scholar
  128. 128.
    Williams AJ, Boeltis I, Johnson BF et al.: Tenckhoff catheter replacement or intraperitoneal urokinase: a randomised trial in the management of recurrent CAPD peritonitis. Perit Dial Int 9: 65, 1989PubMedGoogle Scholar
  129. 129.
    Anwar N, Gokal R: Experience with vancomycin, aminoglycosides and newer B lactam antibiotics in CAPD peritonitis. Dial Transplant 33: 134, 1993Google Scholar
  130. 130.
    Digenis OE, Khanna R, Pierratos A, Vas S: Morbidity and mortality after treatment of peritonitis with prolonged exchanges and intraperitoneal antibiotics. Perit Dial Bull 2: 45, 1982Google Scholar
  131. 131.
    Wu, G and The Toronto Coll Dialysis Group: A review of peritonitis episodes that caused interruption of CAPD. Perit Dial Bull 3(Suppl 1): S11, 1983Google Scholar
  132. 132.
    Seigas R, Rodrigues-Carmona A, Martinez ME et al.: Peritoneal mass transfer in patients on long term CAPD. Perit Dial Bull 4: 153, 1984Google Scholar
  133. 133.
    Ota K, Mineshima M, Watanabe N, Naganuma S: Functional deterioration of the peritoneum: does it occur in the absence of peritonitis? Nephrol Dial Transplant 2: 30, 1987PubMedGoogle Scholar
  134. 134.
    Krediet R, Zuyderhoudt FM, Boeschoten EW, Arisz L: Alterations in the peritoneal transport of water and solutes during peritonitis in CAPD. Eur J Clin Invest 17: 43, 1987 683PubMedGoogle Scholar
  135. 135.
    Bannister DK, Acciardo SR, Moore LW, Kraus AP: Nutritional effects of peritonitis in CAPD patients. J Am Diet Assoc 87: 53, 1987PubMedGoogle Scholar
  136. 136.
    Khanna R, Wu G, Vas S, Oreopolous D: Mortality and morbidity on CAPD. ASAIO J 6: 197, 1983Google Scholar
  137. 137.
    Digenis GE, Abraham G, Savin E et al.: Peritonitis-related deaths in CAPD patients. Perit Dial Int 10: 45, 1990PubMedGoogle Scholar
  138. 138.
    Fenton SSA: Peritonitis related deaths among CAPD patients. Perit Dial Bull 3(Suppl 3): S9, 1983Google Scholar
  139. 139.
    Gokal R, King J, Jakubowski C et al.: Peritonitis-still a major problemin CAPD: results of multicentre study. Journal of Nephrology 2: 95, 1990Google Scholar
  140. 140.
    Gokal R, King J, Jakubowski C et al.: Outcome in patients on CAPD and haemodialysis: 4-year analysis of a prospective multicentre study. Lancet 2: 1105, 1987PubMedGoogle Scholar
  141. 141.
    Viglino G, Cancarini G, Gatizone L et al.: The impact of peritonitis on CAPD results. Adv Perit Dial 8: 269, 1992PubMedGoogle Scholar
  142. 142.
    Carozzi S, Nasini M, Schelotto C et al.: Peritoneal macrophage antimicrobial activity modulation by peritoneal dialysis fluid CA++ and 1,25(OH)2D3 in CAPD patients, in Current Concepts in Peritoneal Dialysis, edited by Ota K et al., Amsterdam, Excerpta Medica, 1992, p 250.Google Scholar
  143. 143.
    Piraino B, Perlmutter J, Holley JL, Johnston J, Bernardini J: Use of dialysate containing 2.5meq/l Ca in peritoneal dialysis patients. Perit Dial Int 12: 76, 1992Google Scholar
  144. 144.
    Suga H, Honda H, Naganuma S et al.: A low Ca++ level in effluent as a risk factor for the peritonitis in CAPD patients. Adv Perit Dial 6: 102, 1990PubMedGoogle Scholar
  145. 145.
    Hutchinson AJ, Turner K, Gokal R: Effect of long-term therapy with 1.25mmol/l calcium peritoneal dialysis fluid on the incidence of peritonitis in CAPD. Perit Dial Int 12: 321, 1992Google Scholar
  146. 146.
    Hutchison AJ, Gokal R: Improved solutions for peritoneal dialysis: development and use of physiological calcium solutions, osmotic agents and buffers. Kidney Int 42(Suppl 38): S153, 1992Google Scholar
  147. 147.
    Mistry CD, Mallick NP, Gokal R: Ultrafiltration with an isosmotic solution during long peritoneal dialysis exchanges. Lancet 2: 178, 1987PubMedGoogle Scholar
  148. 148.
    Oreopoulos DG: Requirements for the organisation of a CAPD programme. Nephron 24: 261, 1979PubMedGoogle Scholar
  149. 149.
    Gokal R: CAPD, in Renal Failure Who Cares?, edited by Parsons F, Ogg C, Lancaster, MTP Press, 1982, p 137Google Scholar
  150. 150.
    Oreopoulos DG, Vas S, Khanna R: Prevention of peritonitis during CAPD. Perit Dial Bull 3(Suppl 3): S18, 1983Google Scholar
  151. 151.
    Ota K, Kawaguchi Y: Peritoneal dialysis in Japan, in Current Concepts in Peritoneal Dialysis, edited by Ota K et al., Amsterdam, Excerpta Medica, 1992, p 849Google Scholar
  152. 152.
    Nolph KD: Randomised multicentre clinical trial to evaluate the effects of an ultraviolet germicidal system on peritonitis rates in CAPD. Perit Dial Bull 5: 19, 1985Google Scholar
  153. 153.
    Holmes CJ, Miyake C, Kubey W: In vitro evaluation of an ultraviolet germicidal connection system for CAPD. Perit Dial Bull 4: 215, 1984Google Scholar
  154. 154.
    Feriani M, La Greca G, Kriger FL, Winchester JF: CAPD systems and solutions, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD, Dordrecht, Kluwer Academic Publishers, 1994, p 233Google Scholar
  155. 155.
    Owen JE, Walker RG, Lemon J, Brett L, Mitrou D, Becker GJ: Randomised study of peritonitis with conventional versus O-set techniques in CAPD. Perit Dial Int 12: 216, 1992PubMedGoogle Scholar
  156. 156.
    Bonardeaux A, Ouimet D, Galarneau A et al.: Peritonitis in CAPD: impact of a compulsory switch from a standard to a Y-connector system in a single North American Centre. Am J Kidney Dis 19: 364, 1992Google Scholar
  157. 157.
    Port PK, Held PJ, Nolph KD et al.: Risk of peritonitis and technique failure by CAPD connection technique: a national study. Kidney Int 42: 967, 1992PubMedGoogle Scholar
  158. 158.
    Junor BJR: CAPD disconnect systems. Blood Purif 7: 156, 1989PubMedGoogle Scholar
  159. 159.
    Piraino B, Bernardini J, Sorkin MI: The effect of the Y-set on catheter infection rates in CAPD patients. Am J Kidney Dis 16: 46, 1990PubMedGoogle Scholar
  160. 160.
    Buoncristiani U: The Y set with disinfectant is here to stay. Perit Dial Int 9: 149, 1989PubMedGoogle Scholar
  161. 161.
    Luzar MA, Slingeneyer A, Cantaluppi A, Peluso FP: In vitro study of the flush effect in two reusable CAPD disconnect systems. Perit Dial Int 9: 169, 1989PubMedGoogle Scholar
  162. 162.
    Geerlings W, Tufveson G, Enrich JH et al.: Report on management of renal failure in Europe XIII. Nephrol Dial Transplant 9(Suppl 1): 6, 1994PubMedGoogle Scholar
  163. 163.
    Dasgupta MK, Fox S, Gagnon D, Ettcher K, Ulan RA: Significant reduction of peritonitis rate by the use of twin-bag system in a Canadian regional CAPD programme. Adv Perit Dial 8: 223, 1992PubMedGoogle Scholar
  164. 164.
    Low DE, Vas SI, Oreopoulos DG et al.: Randomised clinical trial of prophylactic cephalexin in CAPD. Lancet 2: 753, 1986Google Scholar
  165. 165.
    Churchill DN, Oreopoulos DG, Taylor DW et al.: Peritonitis in CAPD patients — a randomised clinical trial of trimethoprimsulfamethoxazole prophylaxis. Abstracts Am Soc Nephrol 97A, 1987Google Scholar
  166. 166.
    Lye WC, Lee EJ, Tan CC: Prophylatic antibiotics in the insertion of Tenckhoff catheters. Scand J Urol Nephrol 26: 177, 1992PubMedGoogle Scholar
  167. 167.
    Zimmerman SW, Ahrens E, Johnson CA et al.: Randomised controlled trial of prophylactic rifampin for peritoneal dialysis-related infections. Am J Kidney Dis 18: 225, 1991PubMedGoogle Scholar
  168. 168.
    Swartz R, Messana J, Starman B, Weber M, Reynolds J: Preventing Staphylococcus aureus infection during chronic peritoneal dialysis. J Am Soc Nephrol 2: 1085, 1991PubMedGoogle Scholar
  169. 169.
    Ray SM, Piraino B, Holley J: Peritonitis following colonoscopy in a peritoneal dialysis patient. Perit Dial Int 10: 97, 1990PubMedGoogle Scholar
  170. 170.
    Peterson JH, Weesner RE, Giannella RA: E Coli peritonitis after left-sided colonoscopy in a patient on CAPD. Am J Gastroenterol 82: 171, 1987Google Scholar
  171. 171.
    Tranaeus A, Heimburger O, Granqvist S: Diverticular disease of the colon: a risk factor for peritonitis in CAPD. Nephrol Dial Transplant 5: 141, 1990PubMedGoogle Scholar
  172. 172.
    Gulanikar AC, Jindal KK, Hirsch DJ: Is chronic peritoneal dialysis safe in patients with intra-abdominal prosthetic vascular grafts? Nephrol Dial Transplant 6: 215, 1991PubMedGoogle Scholar
  173. 173.
    Schmidt RJ, Cruz C, Dumler F: Effective CAPD following abdominal aortic aneurysm repair. Perit Dial Int 13: 40, 1993PubMedGoogle Scholar
  174. 174.
    Lamperi S, Carozzi S: Immunological defences in CAPD. Blood Purif 7: 126, 1989 684PubMedCrossRefGoogle Scholar
  175. 175.
    Poole-Warren LA, Farrell PC: The role of vaccination in the prevention of staphylococcal peritonitis in CAPD. Perit Dial Int 13: 176, 1993PubMedGoogle Scholar
  176. 176.
    Twardowski ZJ, Khanna R: Peritoneal dialysis access and exit site care, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD, Dordrecht, Kluwer Academic Publishers, 1994, p 271Google Scholar
  177. 177.
    Copley JB: Prevention of PD catheter related infections. Am J Kidney Dis 10: 401, 1987PubMedGoogle Scholar
  178. 178.
    Nolph KD, Cutler SJ, Steinberg S et al.: CAPD in the US — a 3 year study. Kidney Int 28: 198, 1985PubMedGoogle Scholar
  179. 179.
    Twardowski ZJ: Peritoneal catheter exit site infections: prevention, diagnosis, treatment, and future directions. Seminar Dial 5: 305, 1992Google Scholar
  180. 180.
    Piraino B: A review of Staphlococcus aureus exit-site and tunnel infections in peritoneal dialysis patients. Am J Kidney Dis 16: 89, 1990PubMedGoogle Scholar
  181. 181.
    Scalamogna A, Castelnovo C, De Vecchi A, Ponticelli C: Exit-site and tunnel infections in CAPD patients. Am J Kidney Dis 18: 674, 1991PubMedGoogle Scholar
  182. 182.
    Burkart JM, Jordan JR, Durnell TA, Case LD: Comparison of exit-site infections in disconnect versus nondisconnect systems for peritoneal dialysis. Perit Dial In 12: 317, 1992Google Scholar
  183. 183.
    Kazmi HR, Raffone FD, Kliger AS, Finkelstein FO: Pseudomonas exit site infections in CAPD patients. J Am Soc Nephrol 2: 1498, 1992PubMedGoogle Scholar
  184. 184.
    Piraino, B, Bernadini J, Johnson JR, Sorkin MI: Exit-site location does not influence peritoneal catheter infection rate. Perit Dial Int 9: 127, 1989PubMedGoogle Scholar
  185. 185.
    Luzar MA, Brown CB, Balf D et al.: Exit-site care and exit-site infection in CAPD: results of a randomised multicentre study. Perit Dial Int 10: 25, 1990PubMedGoogle Scholar
  186. 186.
    Piraino B, Bernardini J, Sorkin M: Catheter infections as a factor in the transfer of CAPD patients to hemodialysis. Am J Kidney Dis 13: 365, 1989PubMedGoogle Scholar
  187. 187.
    Wadhwa NK, Cabralda T, Suh H, Kvilekval K, Mason R: Exit-site/tunnel infection and catheter outcome in peritoneal dialysis patients. Adv Perit Dial 8: 325, 1992PubMedGoogle Scholar
  188. 188.
    Bernardini J, Holley JL, Johnston JR, Perlmutter JA, Piraino B: An analysis of ten year trends in infections in adults on CAPD. Clin Nephrol 36: 29, 1991PubMedGoogle Scholar
  189. 189.
    Holley JL, Bernardini J, Piraino B: Risk factors for tunnel infections in continuous peritoneal dialysis. Am J Kidney Dis 18: 344, 1991PubMedGoogle Scholar
  190. 190.
    Luzar MA: Exit-site infections in CAPD: a review. Perit Dial Int 11: 333, 1991PubMedGoogle Scholar
  191. 191.
    Turner K, Edgar D, Hair M et al.: Does catheter immobilisation reduce exit-site infections in CAPD patients? Adv Perit Dial 8: 265, 1992PubMedGoogle Scholar
  192. 192.
    Piraino B, Bernardini J, Sorkin M: The influence of peritoneal catheter exit-site infections on peritonitis, tunnel infections, and catheter loss in patients on CAPD. Am J Kidney Dis 8: 436, 1986PubMedGoogle Scholar
  193. 193.
    Zimmerman SW, O’Brien M, Wiedenhoeft FA, Johnson CA: Staphylococcus aureus peritoneal-catheter related infections: a cause of catheter loss and peritonitis. Perit Dial Int 8: 191, 1988Google Scholar
  194. 194.
    Davies SJ, Ogg CS, Cameron JS, Poston S, Noble WC: Staphylococcus aureus nasal carriage, exit-site infection and catheter loss in patients treated with CAPD. Perit Dial Int 9: 61, 1989PubMedGoogle Scholar
  195. 195.
    Sewell CM, Clarridge J, Lacke C, Weineman EJ, Young EJ: Staphylococcus nasal carriage and subsequent infection in peritoneal dialysis patients. JAMA 248: 1493, 1982PubMedGoogle Scholar
  196. 196.
    Luzar MA, Cloes GA, Faller B et al.: Staphylococcus aureus nasal carriage and infection in patients on CAPD. N Engl J Med 322: 505, 1990PubMedCrossRefGoogle Scholar
  197. 197.
    Perez-Fontan M, Rosales M, Rodrigues-Carmpna A et al.: Treatment of Staphylococcus aureus nasal Carriers in CAPD with mupirocin. Adv Perit Dial 8: 242, 1992PubMedGoogle Scholar
  198. 198.
    Sesso R, Draibe S, Castelo A et al.: Staphylococcus aureus skin carriage and development of peritonitis in patients on CAPD. Clin Nephrol 31: 264, 1989PubMedGoogle Scholar
  199. 199.
    Lye WC, Leong SO, Lee EJC: Methicillin resistant staphylococcus aureus nasal carriage and infections in CAPD. Kidney Int 43: 1357, 1993PubMedGoogle Scholar
  200. 200.
    Dobbie JW: Pathology of the peritoneum, in The Peritoneum and Peritoneal Access, edited by Bengmark S, London, Wright, 1989, p 42Google Scholar
  201. 201.
    Gotloib L, Bar Sella P, Shostak A: Reduplicated basal lamina of small venules and mesothelium of hiaman parietal peritoneum: ultrastructural changes of reduplicated peritoneal basal membrane. Perit Dial Bull 5: 212, 1985Google Scholar
  202. 202.
    Dobbie JW: Morphology of the peritoneum. Blood Purif 7: 74, 1989PubMedCrossRefGoogle Scholar
  203. 203.
    Dobbie JW: New concept in molecular biology and ultrastructural pathology of the peritoneum: their significance for peritoneal dialysis. Am J Kidney Dis 15: 97, 1990PubMedGoogle Scholar
  204. 204.
    Hauglustaine D, Monballyu J, van Meerbeek J et al.: Sclerosing peritonitis with mural bowel fibrosis in a patient on long term CAPD. Clin Nephrol 22: 158, 1984PubMedGoogle Scholar
  205. 205.
    Gandhi VC, Humayan HM, Ing TS et al.: Sclejrotic thickening of the peritoneal membrane in maintenance peritoneal dialysis patients. Arch Int Med 140: 1201, 1980Google Scholar
  206. 206.
    Dobbie JW: Ultrastructure and pathology of the peritoneum in peritoneal dialysis, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD Dordrecht, Kluwer Academic Publishers, 1994, p 17Google Scholar
  207. 207.
    Ing TS, Daugirdas JT, Ghandi VC: Peritoneal sclerosis in peritoneal dialysis patients. Am J Nephrol 4: 173, 1984PubMedCrossRefGoogle Scholar
  208. 208.
    Shaldon S, Koch K, Quellhorst E, Dinarello CA: Pathogenesis of sclerosing peritonitis in CAPD. Trans Am Soc Artif Int Organs 30: 193, 1984Google Scholar
  209. 209.
    Shaldon S: Peritoneal macrophage — the first line of defence, in Peritoneal Dialysis, edited by La Greca G, Ronco C, Ferriani M et al, Milan, Wichtig Editore, 1986, p 201Google Scholar
  210. 210.
    Dobbie JW: Pathogenesis of peritoneal fibrosing syndromes (sclerosing peritonitis) in peritoneal dialysis. Perit Dial Int 12: 14, 1992PubMedGoogle Scholar
  211. 211.
    Joffe P, Jensen LT: Type I and III procollagens in APD: markers of peritoneal fibrosis. Adv Perit Dial 8: 158, 1991Google Scholar
  212. 212.
    Rottembourg J, Issad B, Langloes P et al.: Loss of ultrafiltration and sclerosing encapsulating peritonitis during CAPD. Evaluation of the potential risk factors. Adv Perit Dial 1: 109, 1985Google Scholar
  213. 213.
    Faller B, Marichal JF: Loss of UF in CAPD: role of acetate. Perit Dial Bull 4: 10, 1984Google Scholar
  214. 214.
    Slingeneyer A, Mion C, Mourad G et al. Progressive sclerosing peritonitis: a late and severe complication of aintenance peritoneal dialysis. Trans Am Soc Artif Int Organs 29: 633, 1983 685Google Scholar
  215. 215.
    Lasker N, Burke J, Patschfsky A: Peritoneal reactions to paniculate matter in peritoneal dialysis solutions. Trans Am Soc Artif Intern Organs 21: 342, 1975PubMedGoogle Scholar
  216. 216.
    Junor B, Briggs JD, Forwell M, Dobbie J, Henderson I: Sclerosing peritonitis — the contribution of chlorhexidine in alcohol. Perit Dial Bull 5: 101, 1985Google Scholar
  217. 217.
    Lo WK, Chan KT, Leung ACT, Pang SW, Tse CY: Sclerosing peritonitis complicating CAPD with the use of chlorhexidine in alcohol. Adv Perit Dial 6: 79, 1990PubMedGoogle Scholar
  218. 218.
    Henderson IS, Couper IA, Lumsden A: The effect of shelf-life of peritoneal dialysis fluid on the ultrafiltration in CAPD. in Peritoneal Dialysis, edited by La Greca G, Ronco C, Ferriani M et al., Milan, Wichtig Editore, 1986, p 85Google Scholar
  219. 219.
    Novello A, Port F: Sclerosing encapsulating peritonitis. Int J Artif Organs 9: 393, 1986PubMedGoogle Scholar
  220. 220.
    Bargman JM: Non-infectious complications of peritoneal dialysis, in The Textbook of Peritoneal Dialysis, edited by Gokal R, Nolph KD, Dordrecht, Kluwer Academic Publishers, 1994, p 555Google Scholar
  221. 221.
    Mackow RC, Winchester JF, Argy WP et al.: Sclerosing encapsulating peritonitis in the rat; an experimental study with intraperitoneal antiseptics. Contr Nephrol 57: 213, 1987Google Scholar
  222. 222.
    Slingeneyer A: Preliminary report on a cooperative international study on sclerosing encapsulating peritonitis. Contr Nephrol 57: 239, 1987Google Scholar
  223. 223.
    Karatson A, Buzogany I, Wagner G, Racz L: Sclerosing peritonitis caused by disinfectant in a patient on CAPD. Int Urol Nephrol 23: 185, 1991PubMedGoogle Scholar
  224. 224.
    Ing T, Daugirdas J, Gandhi VC, Leehey D: Sclerosing peritonitis after peritoneal dialysis. Lancet 2: 1080, 1983PubMedGoogle Scholar
  225. 225.
    Grefberg N, Nillson P, Andreen T: Sclerosing obstructive peritonitis, beta blockers and CAPD. Lancet 2: 733, 1983Google Scholar
  226. 226.
    Oreopoulos DG, Khanna R, Wu G: Sclerosing obstructive peritonitis after CAPD. Lancet 2: 409, 1983PubMedGoogle Scholar
  227. 227.
    Daugirdas J, Gandhi VC, McShane A et al.: Peritoneal sclerosis in CAPD dialysed exclusively with lactate-buffered dialysate. Int J Artif Organs 9: 416, 1986Google Scholar
  228. 228.
    Sabatini S, Fracasso A, Bazzato G, Kurtzman A: Effect of phthalate acid esters on transport in toad bladder membrane. J Pharmacol Exp Ther 250: 910, 1989PubMedGoogle Scholar
  229. 229.
    Krediet RT, Struijk DG, Boeschoten EW et al.: The time course of peritoneal transport kinetics in CAPD patients who develop sclerosing peritonitis. Am J Kidney Dis 13: 299, 1989PubMedGoogle Scholar
  230. 230.
    Struijk DG, van der Reijden HJ, Krediet RT, Koomen GC, Arisz L: Effect of phosphatidylcholoine on peritoneal transport and lymphatic absorption in a CAPD patient with sclerosing peritonitis. Nephron 51: 577, 1989PubMedGoogle Scholar
  231. 231.
    Hollman AS, McMillan MA, Briggs D, Junor B, Morley P: Ultrasound changes in sclerosing peritonitis following CAPD. Clin Radiol 43: 176, 1991PubMedGoogle Scholar
  232. 232.
    Korezs A, Kortezs Z, Peer G et al.: Sclerosing peritonitis — possibly early diagnosis by computerised tomography of the abdomen. Am J Nephrol 8: 143, 1988Google Scholar
  233. 233.
    Jackson BT: Surgical treatment of sclerosing peritonitis caused by practalol. Brit J Surg 64: 255, 1977PubMedGoogle Scholar
  234. 234.
    Kittur DS, Korpe SW, Raytch RE, Smith GW: Surgical aspects of sclerosing encapsulating peritonitis. Arch Surg 125: 626, 1990Google Scholar
  235. 235.
    Pusatiri R, Ross R, Marshall R, Meredith JH, Hamilton RW: SEP: report of a case with small bowel obstruction managed by long term parenteral hyperalimentation, and a review of the literature. Am J Kidney Dis 8: 56, 1986Google Scholar
  236. 236.
    Junor B, McMillan MA: Immunosuppression in sclerosing peritonitis. Perit Dial Int 13(Suppl 1): S64, 1993Google Scholar
  237. 237.
    O’Connor J, Rigby R, Hardie I et al.: Abdominal hernias complivating CAPD. Am J Nephrol 6: 271, 1986PubMedGoogle Scholar
  238. 238.
    Gigenis G, Khanna R, Mathews R, Oreopoulos DG: Abdominal hernias in patients undergoing CAPD. Perit Dial Bull 2: 115, 1982Google Scholar
  239. 239.
    Gotloib L, Mines M, Garmizo L, Varka I: Hemodynamic effects of increasing intra-abdomina pressure in peritoneal dialysis. Perit Dial Bull: 41, 1981Google Scholar
  240. 240.
    Twardowski Z, Khanna R, Nolph KD et al.: Intra-abdominal pressures during natural activities in patients treated with CAPD. Nephron 44: 129, 1986PubMedCrossRefGoogle Scholar
  241. 241.
    Durand PY, Chanliau J, Gamberoni J, Hestin D, Kessler M: Routine measurement of hydrostatic intraperitoneal pressure. Adv Perit Dial 8: 108, 1992PubMedGoogle Scholar
  242. 242.
    Rubin J, Raju S, Teal N, Hellems E, Bower J: Abdominal hernias in patients undergoing CAPD. Arch Intern Med 142: 1453, 1982PubMedGoogle Scholar
  243. 243.
    Kauffman H, Adams M: Indirect inguinal hernia in patients undergoing peritoneal dialysis. Surgery 99: 254, 1986PubMedGoogle Scholar
  244. 244.
    Rocco M, Stone W: Abdominal hernias in chronic peritoneal dialysis patients: a review. Perit Dial Bull 5: 171, 1985Google Scholar
  245. 245.
    Engeset J, Youngson G: Ambulatory peritoneal dialysis and hernial complications. Surg Clin North Am 64: 385, 1984PubMedGoogle Scholar
  246. 246.
    Wetherington G, Leapman S, Robinson R, Filo RS: Abdominal wall and inguinal hernias in CAPD. Am J Surg 150: 357, 1985PubMedGoogle Scholar
  247. 247.
    Wise M, Manos J, Gokal R: Small umbilical hernias in patients on CAPD. Perit Dial Bull 4: 270, 1984Google Scholar
  248. 248.
    Modi KB, Grant AC, Garret A, Rodger RSC: Indirect inguinal hernia in CAPD patients with polycystic kidney disease. Adv Perit Dial 5: 84, 1989PubMedGoogle Scholar
  249. 249.
    Apostolodis NS, Tzardis PJ, Manouras AJ, Kosinidou MD, Katirtzoglou AN: The incidence of post-operative hernia as related to the site of insertion of permanent peritoneal catheter. Am Surgeon 54: 318, 1988Google Scholar
  250. 250.
    Griffin P, Coles G: Strangulated hernias through Tenck-hoffcannula sites. Brit Med J 284: 1937, 1982CrossRefGoogle Scholar
  251. 251.
    Spence P, Mathews R, Khanna R, Orepoulos DG: Improved results with a paramedian technique for the insertion of peritoneal dialysis catheters. Surg Gynecol Obstet 161: 585, 1985PubMedGoogle Scholar
  252. 252.
    Tank ES, Hatch DA: Hernias complicating CAPD in children. J Pediatr Surg 21: 41, 1986PubMedGoogle Scholar
  253. 253.
    von Lilien T, Salusky IB, Yap HK, Fonkalsrud EW, Fine RN: Hernias: a frequent complication in children treated with continuous peritoneal dialysis. Am J Kidney Dis 10: 356, 1987Google Scholar
  254. 254.
    Khoury AE, Charendoff J, Balfe JW, McLorie GA, Churchill BM: Hernias associated with CAPD in children. Adv Perit Dial 7: 279, 1991PubMedGoogle Scholar
  255. 255.
    Power D, Edward N, Catto G et al.: Richter’s hernia: an unrecognised complication of CAPD. Brit Med J 283: 528, 1981Google Scholar
  256. 256.
    Steiner RW, Halasz NA: Abdominal catastrophes and other unusual events in CAPD. Am J Kidney Dis 15: 1, 1990PubMedGoogle Scholar
  257. 257.
    Pauls DG, Basinger BB, Shield CF: Inguinal herniorrhaphy in the CAPD patient. Am J Kidney Dis 20: 497, 1992PubMedGoogle Scholar
  258. 258.
    Nassberger L: Enterocele due to CAPD. Acta Obstet Gynecol Scand 63: 283, 1984PubMedCrossRefGoogle Scholar
  259. 259.
    Francis D, Schofield I, Veitch P: Abdominal hernias in patients treated with CAPD. Br J Surg 69: 409, 1982PubMedGoogle Scholar
  260. 260.
    Lee A, Waffle C, Trebbin W: Clostridial myonecrosis. Origin from an obturator hernia in a dialysis patient. J Am Med Assoc 246: 1232, 1983Google Scholar
  261. 261.
    Ramos J, Burke D, Veitch P: Hernia of Morgagni in patients on CAPD. Lancet 1: 161, 1982PubMedGoogle Scholar
  262. 262.
    Beaman M, Feehally J, Smith B, Walls J: Anterior abdominal all leakage in CAPD patients: management by intermittent peritoneal dialysis. Perit Dial Bull 5: 81, 1985Google Scholar
  263. 263.
    Kopecky R, Funk M, Kreitzer P: Localised genital oedema in patients undergoing CAPD. J Urol 134: 880, 1985PubMedGoogle Scholar
  264. 264.
    Orfei R, Seybold K, Blumberg A: Genital edema in patients treated by CAPD. Perit Dial Bull 4: 251, 1984Google Scholar
  265. 265.
    Twardowski Z, Tully R, Nichols W, Sunderrajam S: Computerised tomography (CT) in the diagnosis of subcutaneous leak sites during CAPD. Perit Dial Bull 4: 163, 1984Google Scholar
  266. 266.
    Tzamaloukas AH, Gibel LJ, Eisenberg B et al.: Scrotal edema in patients on CAPD: causes, differential diagnosis and management. Dial Transplant 21: 581, 1992Google Scholar
  267. 267.
    Abraham G, Blake PG, Mathews RE, Bargman JM, Izatt S, Oreopoulos DG: Genital swelling as a surgical complication of CAPD. Surg Gynecol Obstet 170: 306, 1990PubMedGoogle Scholar
  268. 268.
    Singal K, Segel DP, Bruns FJ, Fraley DS, Adler S, Julian TB: Genital edema in patients on CAPD. Report of 3 cases and review of the literature. Am J Nephrol 6: 471, 1986PubMedGoogle Scholar
  269. 269.
    Litherland J, Gibson M, Sambrook P et al.: Investigation and treatment of poor drains of dialysate fluid associated with anterior abdominal leaks in patients on CAPD. Nephrol Dial Transplant 7: 1030, 1992PubMedGoogle Scholar
  270. 270.
    Mandel P, Faegenburg D, Imbriano L: The use of technetium-99m colloid in the detection of patent processus vaginalis in patients on CAPD. Clin Nucl Med 10: 553, 1985PubMedGoogle Scholar
  271. 271.
    Dubin L, Froelich L: Evaluation of scrotal edema in a patient on peritoneal dialysis. Clin Nucl Med 10: 173, 1985PubMedGoogle Scholar
  272. 272.
    Eisenberg B, Arrington ER, Hartshorne MF et al.: Intraperitoneal radiocolloid imaging in dialysate leaks. Am J Physiol Imaging 4: 155, 1989PubMedGoogle Scholar
  273. 273.
    Kopecky RT, Frymore PA, Witanowski LS, Thomas FD: Complications of CAPD: diagnostic value of peritoneal scintigraphy. Am J Kidney Dis 10: 123, 1987PubMedGoogle Scholar
  274. 274.
    Kopecky RT, Frymore PA, Witanowski LS et al.: Prospective peritoneal scintigraphy in patients beginning CAPD. Am J Kidney Dis 15: 228, 1990PubMedGoogle Scholar
  275. 275.
    Johnson J, Baum S, Smink RD: Radionuclide imaging in the diagnosis of hernias related to peritoneal dialysis. Arch Surg 12: 952, 1987Google Scholar
  276. 276.
    Johnson BF, Segasby CA, Holroyd AM et al.: A method for demonstrating subclinical inguinal herniae in patients undergoing peritoneal dialysis: the isotope ‘periotneo-scrotogram’. Nephrol Dial Transplant 2: 254, 1987PubMedGoogle Scholar
  277. 277.
    Berman C, Velchik MG, Shusterman N, Alavi A: The clinical utility of the Tc-99m SC intraperitoneal scan in CAPD patients. Clin Nucl Med 14: 405, 1989PubMedGoogle Scholar
  278. 278.
    Sissons GRJ, Meecham-Jones SM, Evans C, Richards AR: Scintigraphic detection of abdominal hernias associated with CAPD. Br J Rad 53: 1158, 1991CrossRefGoogle Scholar
  279. 279.
    Scanziani R, Dozio B, Caimi F, De-Rossi N, Magri F, Surian M: Peritoneography and peritoneal computerized tomography: a new approach to non-infectious complications of CAPD. Nephrol Dial Transplant 27: 1035, 1992Google Scholar
  280. 280.
    Hollett MD, Marn CS, Ellis JH, Francis IR, Swtartz RD: Complications of CAPD: evaluation with CT peritoneography. Am J Roentgenol 159: 983, 1992Google Scholar
  281. 281.
    Twardowski Z, Tully RJ, Ersoy FF, Dedhia NM: CT with and without intraperitoneal contrast for determination of intra-abdominal fluid distribution and diagnosis of complications in peritoneal dialysis patients. Trans Am Soc Artif Intern Organs 36: 95, 1990Google Scholar
  282. 282.
    Caimi F, Roveroe G, Phillipson M, Battaglia E: Contribution of peritoneography combined with CT, in the assessment of abdominal complications in patients undergoing CAPD. Radiologia Medica 81: 189, 1991Google Scholar
  283. 283.
    Bunchman T, Wood E, Lynch R: Hydrothorax as a complication of peritoneal dialysis. Perit Dial Bull 7: 237, 1987Google Scholar
  284. 284.
    Scheldewaert R, Bogaerts Y, Pauwels R et al.: Management of a massive hydrothorax in a CAPD patient: a case report and a review of the literature. Perit Dial Bull 2: 69, 1982Google Scholar
  285. 285.
    Nomoto Y, Suga T, Nakajima K et al.: Acute hydrothorax in CAPD — a collaborative study of 161 centres. Am J Nephrol 9: 363, 1989PubMedCrossRefGoogle Scholar
  286. 286.
    Grefberg N, Danielson B, Benson L et al.: Right-sided hydrothorax complicating peritoneal dialysis. Nephron 34: 130, 1983PubMedGoogle Scholar
  287. 287.
    Boeschoten E, Krediet R, Roos CM et al.: Leakage of dialysate across the diaphragm: an important complication of CAPD. Neth J Med 29: 242, 1986PubMedGoogle Scholar
  288. 288.
    Benz R, Schleifer CR: Hydrothorax in CAPD: successful treatment with intrapleural tetracycline and a review of the literature. Am J Kidney Dis 2: 136, 1985Google Scholar
  289. 289.
    Gibbons G, Baumert J: Unilateral hydrothorax complicating peritoneal dialysis: use of radionuclide image. Clin Nucl Med 3: 83, 1983Google Scholar
  290. 290.
    Kennedy J: Procedures used to demonstrate a pleuroperitoneal communication: a review. Perit Dial Bull 5: 168, 1985Google Scholar
  291. 291.
    Green A, Logan M, Medawar W et al.: The management of hydrothorax in CAPD. Perit Dial Int 10: 271, 1990PubMedGoogle Scholar
  292. 292.
    Vezina D, Winchester JF, Rakowski TA: Spontaneous resolution of a massive hydrothorax in a CAPD patient. Perit Dial Bull 7: 212, 1987Google Scholar
  293. 293.
    Ing A, Rutland J, Kalowski S: Spontaneous resolution of hydrothorax in CAPD. Nephron 61: 247, 1992PubMedGoogle Scholar
  294. 294.
    Townsend R, Fragola JA: Hydrothorax in a patient receiving CAPD-successful treatment with intermittent peritoneal dialysis. Arch Int Med 142: 1571, 1982Google Scholar
  295. 295.
    Chow CC, Sung JY, Chueng CK, Hamilton-Wood C, Lai KN: Massive hydrothorax in CAPD: diagnosis, management and review of the literature. New Zealand Med J 101: 475, 1988PubMedGoogle Scholar
  296. 296.
    Posen G, Sachs H: Treatment of recurrent pleural effusions in dialysis patients by talc insufflation. Am Soc Artif Int Organs (abstract) 1979, p 75Google Scholar
  297. 297.
    Catizone L, Zuchelli A, Zuchelli P: Hydrothorax in a PD patient: successful treatment with intrapleural autologous blood instillation. Adv Perit Dial 7: 221, 1991Google Scholar
  298. 298.
    Vlachojannis J, Boettcher I, Brandt L, Schoeppe W: A new treatment for unilateral recurrent hydrothorax during CAPD. Perit Dial Bull 5: 180, 1985Google Scholar
  299. 299.
    Pattison C, Rodger R, Adu J et al.: Surgical treatment of hydrothorax complicating CAPD. Clin Nephrol 21: 191, 1984PubMedGoogle Scholar
  300. 300.
    Allen S, Matthews HR: Surgical treatment of massive hydrothorax complicating CAPD. Clin Nephrology 36: 299, 1991Google Scholar
  301. 301.
    Brown AL, Stephenson JR, Baker LR, Tabaqchali S: Recurrent CAPD peritonitis caused by coagulase-negative staphyloccocci: reinfection or relapse determined by clinical criteria and typing methods. J Hosp Infect 18: 109, 1991PubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Ram Gokal
    • 1
  1. 1.Department of Renal MedicineManchester Royal InfirmaryManchesterEngland

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