Clinical experience with continuous flow and flow-through peritoneal dialysis

Concern over the inherent inefficiency of solute removal by conventional pe ritoneal dialysis (PD) has led to renewed interest in continuous flow PD (C FPD). We present clinical data from two experiences with CFPD. Ln the first , two catheters were used to recirculate a fixed intraperitoneal volume thr ough an external circuit comprised of a standard hemodialysis system. The s econd patient had a dual-lumen PD catheter and was studied during two sessi ons of flow-through PD (FTPD) using sterile PD solution. Urea clearances wi th both techniques were around 30 ml/min, which is consistent with data rep orted in the literature, Significant streaming of dialysate from port to po rt within the peritoneal cavity limited clearances, CFPD offers a potential ly safe and effective alternative to daily or nightly home hemodialysis.