文摘
Peritoneal dialysis is a form of renal replacement therapy that complements the roles of haemodialysis and transplantation in the management of end-stage renal failure (ESRF). It enables removal of nitrogenous waste products and water from the body, using peritoneal dialysis fluid (PDF) instilled via a catheter into the peritoneal cavity (Figure 1). The technique was first used in 1923 and became a viable option for chronic dialysis in the 1960s, following the development of permanent indwelling catheters by Tenckhoff. It is now a safe, effective and well-tolerated form of renal replacement therapy that sustains more than 100,000 patients worldwide. No controlled trials have been performed, but the mortality of patients sustained by peritoneal dialysis is similar to that of those receiving haemodialysis. The technique should be considered in all patients approaching ESRF.