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Since 1982 eight patients under 1 year of age with end-stage renal failure have been
treated by chronic peritoneal dialysis (CPD) following insertion of an abdominal Tenckhoff
catheter. We routinely perform a partial omentectomy now, and in males undertake bilateral
exploration of the groins at the time of catheter insertion, with herniotomy or ligation
of the patent processus vaginalis as required. Up to January 1990, 19 straight double-cuff
catheters had been inserted with a total follow-up of 244.5 patient months. The median
age at the initial catheter insertion was 14.6 weeks (range, 2 days to 11 months)
and the median weight was 3.89 kg (range, 2.2 to 5.5). Peritonitis was the most common
complication, with 46 episodes, representing one episode of peritonitis per 5.3 patient
months on dialysis. The frequency of peritonitis has decreased in the last 6 months
since all patients have been dialysed by two caregivers. The present rate of peritonitis
is 1 episode per 10 patient months on dialysis. One patient has died of septicemia
secondary to associated congenital abnormalities, one patient has regained renal function,
and two patients have been tranplanted, one successfully. Five patients are currently
dialysing via their abdominal Tenckhoff catheters and awaiting transplantation. We
conclude that neonates and infants under 1 year of age can be treated satisfactorily
by CPD to enable successful preparation for transplantation later in childhood.
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Article info
Publication history
Accepted:
April 16,
1991
Identification
Copyright
© 1992 W.B. Saunders Company. All right reserved. Published by Elsevier Inc.
