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Peritoneal Membrane Structural and Functional Changes during Peritoneal Dialysis.

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Goffin, Eric [UCL]

Peritoneal dialysis is now utilized as a renal replacement therapy modality in a substantial percentage of patients with end-stage renal disease, with excellent short-term patient and technique survival rates. However, the potential complications associated with longer-term therapy, such as ultrafiltration failure or encapsulating peritoneal sclerosis, have led to raise some concern about peritoneal dialysis as an adequate mode of treatment of end-stage renal disease in the long term. In the last decade, a substantial amount of information has been gathered on the characteristics of the peritoneal membrane at the onset of peritoneal dialysis, and on the anatomical and pathophysiologic changes that occur with long-term peritoneal dialysis. I will review this subject with a special focus on the various strategies that can help protect the peritoneal membrane during peritoneal dialysis so as to allow peritoneal dialysis to succeed as a long-term dialysis modality.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2008
Language Anglais
Journal information "Seminars in Dialysis" - Vol. 21, no. 3, p. 258-265 (2008)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing, Inc. ((United States) Malden)
issn 0894-0959
Publication status Publié
Affiliations UCL - MD/MINT - Département de médecine interne
UCL - (SLuc) Service de néphrologie
MESH Subject Ultrafiltration ; Time Factors ; Permeability ; Peritoneum - physiology ; Peritoneal Dialysis - methods ; Kidney Failure, Chronic - physiopathology - therapy ; Humans ; Biological Transport - physiology
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Bibliographic reference Goffin, Eric. Peritoneal Membrane Structural and Functional Changes during Peritoneal Dialysis.. In: Seminars in Dialysis, Vol. 21, no. 3, p. 258-265 (2008)
Permanent URL http://hdl.handle.net/2078.1/11333