Abstract
Objective hypertension 12 (27.27%), diabetes mellitus 11
To report the outcome of Continuous ambulatory (22.72%), calculus disease 5 (4. 55%), idiopathic
peritoneal dialysis (CAPD) in End Stage Renal 2 (4.55%) and adult polycystic kidney disease in 3
Disease (ESRD) patients from predominately (4.55 %) patients. The total follow up was 642.40
patients-months. Eight patients had Tunnel or rural areas of Khyber Pukhtonkhuwa (KPK)
exit-site infection, 5 had catheter malposition, province of Pakistan and adjoining areas of
Afghanist outflow failure and abdominal discomfort. There an who had no access to hemodialysis
were 30 episodes of peritonitis. There were 53.53 near their localities.
Patient patient-years of experience. The rate of peritonitis s and Methods
This retrospective study was carried out at District was 1 episode per 21.40 patient-months or 0.56
Headquarter T per patient-year. In 4 patients, Tenckhoff catheter eaching Hospital, Dera Ismail Khan
had to be removed due to refractory peritonitis and Institute of Kidney Diseases, Hayatabad
Medical Complex Peshawar within 6 months of insertion. 3 patients had a , KPK, Pakistan. All
ESRD p successful renal transplant. 11 patients switched atients who were initiated on CAPD from
to hemodialysis due to nonaffordabilty of daily January, 2005 to January, 2010 and who had
cost of CAPD after 8 months of CAPD. The patient regular follow up were included in the study.
Complications and outcome were noted. survival at 1, 2 and 3 years was 63.63, 41 and 22
Result %, respectively. s
A Conclusions total of 50 patients were analyzed. There were
Continuous ambulatory peritoneal dialysis is 36 male and 14 female. The mean age was 47.5
better and safe mode of dialysis for remote rural years (range 15-80). 43 (86%) patients were from
areas of Pakistan and adjoining Afghanistan who rural area and 3 (14%) from urban area. 38
wep have no access to hemodialysis centers in big atients took CAPD as their first modality of
cities. (Rawal Med J 2012;37:277-281). dialysis while 12 patients choose it as a second
modality af Key words ter being on hemodialysis for some
months. The etiology of ESRD were as follows: CAPD, Pakistan, peritonitis, Afghanistan.
