K. Wieczorowskatobis et al., IN-VIVO MODEL TO STUDY THE BIOCOMPATIBILITY OF PERITONEAL-DIALYSIS SOLUTIONS, International journal of artificial organs, 20(12), 1997, pp. 673-677
This study was designed to analyze the complex morphologic and functio
nal effects of dialysis solutions on peritoneum in a rat model on chro
nic peritoneal dialysis. Peritoneal catheters were inserted into 10 ma
le, Wistar rats and the animals were dialyzed twice daily for 4 weeks
with 4.25% Dianeal. During the study we observed two opposite effects:
healing of the peritoneum after catheter implantation - decreased cel
l count in dialysate, decreased permeability of the peritoneum to gluc
ose and total protein, increased volume of drained dialysate; and dama
ge to the membrane due to its exposure to peritoneal dialysis solution
- increased hyaluronic acid levels in dialysate, a tendency of the pe
ritoneum to thicken when compared to non-dialyzed animals. Our rat mod
el of CAPD may be used for quantitative and qualitative assessment of
the effects of peritoneal dialysis solution on the peritoneum during c
hronic dialysis.