Non-Infectious Complications of Peritoneal Dialysis in Senegal  

作　　者：Ahmed Tall Lemrabott[1] Maria Faye[1] Moustapha Faye[1] Abdoul Hassane Sanlé Traoré[1] Mouhamadou Moustapha Cissé[1] Khodia Fall[1] Yaya Kane[1] Zeinabou Maiga Moussa Tondi[1] Mansour Mbengue[1] Bacary Ba[1] Niakhalee Keita[1] Seynabou Diagne[1] Abdou Niang[1] Boucar Diouf[1] El Hadji Fary Ka[1] 

出　　处：《Open Journal of Nephrology》2020年第1期43-49,共7页肾脏病（英文）

摘　　要：Introduction: Senegal has pioneered the implementation of peritoneal dialysis (PD) in West Africa, practicing it since 2004. Non-infectious complications are a significant cause of failure of this technique and the transfer of patients to haemodialysis. The aim of this study was to determine the prevalence and the different types of non-infectious complications in our context. Patients and Methods: This was a 5-year, descriptive, retrospective study of patients on chronic peritoneal dialysis for more than 3 months. Results: During the study period, 75 patients were included. The prevalence of non-infectious complications was 88%, including 45.3% mechanical complications and 76% metabolic complications. Catheter migration was the most common mechanical complication (55.9%), followed by catheter blockage (23.5%). Metabolic complications were dominated by hypoalbuminemia (76.3%). Dyslipidaemia and hypokalaemia affected more than 50% of patients, occurring in 59.3% and 56.9% of cases, respectively. Conclusion: In our study, non-infectious complications related to PD were frequent and varied. They remain a significant cause of technical failure. Mechanical complications are often the cause of permanent transfer to haemodialysis.Introduction: Senegal has pioneered the implementation of peritoneal dialysis (PD) in West Africa, practicing it since 2004. Non-infectious complications are a significant cause of failure of this technique and the transfer of patients to haemodialysis. The aim of this study was to determine the prevalence and the different types of non-infectious complications in our context. Patients and Methods: This was a 5-year, descriptive, retrospective study of patients on chronic peritoneal dialysis for more than 3 months. Results: During the study period, 75 patients were included. The prevalence of non-infectious complications was 88%, including 45.3% mechanical complications and 76% metabolic complications. Catheter migration was the most common mechanical complication (55.9%), followed by catheter blockage (23.5%). Metabolic complications were dominated by hypoalbuminemia (76.3%). Dyslipidaemia and hypokalaemia affected more than 50% of patients, occurring in 59.3% and 56.9% of cases, respectively. Conclusion: In our study, non-infectious complications related to PD were frequent and varied. They remain a significant cause of technical failure. Mechanical complications are often the cause of permanent transfer to haemodialysis.

关 键 词：PERITONEAL DIALYSIS NON-INFECTIOUS COMPLICATIONS CATHETER Migration HYPOALBUMINEMIA Hypokalaemia 

分 类 号：R73[医药卫生—肿瘤]