Abstract
CAPD can be used in children of all ages and sizes. Currently, it is the dialysis of choice at our center for young children. Even though a successful renal transplant is our ultimate goal, the best yardstick of successful renal failure treatment is optimal linear and brain growth. Proper and adequate nutrition are mandatory for growth. Nutrition should be approached aggressively in children who are receiving CAPD and yet have persistent anorexia. Nasogastric tube feeding or addition of nutrients to the dialysate may be necessary for such patients. Bone disease on CAPD can be prevented by providing the child with supplemental vitamin D, controlling the plasma phosphate concentration (dietary restriction or phosphate binders) and preventing hyperparathyroidism. Technical improvements will continue in the field of dialysis. Each new attempt at improved therapy should be approached carefully and should be assessed properly for its suitability in children.
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