 |
|
Comprehensive Management of Renal Failure in Infants
David Tapper, MD;
Sandra Watkins, MD;
Mark Burns, MD;
Robert O. Hickman, MD;
Ellis Avner, MD
Arch Surg. 1990;125(10):1276-1281.
Abstract
| |
• From 1986 through 1989, 23 infants (18 of whom were <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 weighed 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.
(Arch Surg. 1990;125:1276-1281)
Author Affiliations
From the Departments of Surgery (Drs Tapper and Burns) and Pediatrics (Drs Tapper, Watkins, Hickman, and Avener) Children's Hospital & Medical Center and the University of Washington, Seattle.
Footnotes
Accepted for publication June 29, 1990.
Read before the 61st Annual Meeting of the Pacific Coast Surgical Association, Laguna Niguel, Calif, February 20, 1990.
Reprint requests to Department of Surgery, Children's Hospital & Medical Center, 4800 Sand Point Way NE, PO Box C5371, Seattle, WA 98105 (Dr Tapper).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Successful Long-Term Peritoneal Dialysis in a Very Low Birth Weight Infant with Renal Failure Secondary to Feto-Fetal Transfusion Syndrome
Rainey et al.
Pediatrics 2000;106:849-851.
ABSTRACT
| FULL TEXT
|
