The Peritoneal Equilibration Test (PET) in Children

Volume: 47 Number: 3 September 1, 2008
  • Yavaşcan Ö
  • Kara O D
  • Anıl M
  • Aksu N
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The Peritoneal Equilibration Test (PET) in Children

Abstract

Introduction: Peritoneal transport characteristics in children treated with continue ambulatory peritoneal dialysis (CAPD) differ from adults. It is known that peritoneal area in infants per unit weight is twice that of the adult. Multiple experiences with the peritoneal equilibrium test (PET) in children have been published but there is little information available on the use of standardized PET in childhood. In this study we wanted to represent the PET results in children treated with CAPD. Materials Methods: We performed a PET on 21 children (12 boys, 9 girls) aged 23 months to 14 years (average: 10.1 ±4.32 years) using a dwell volume of 30-50 ml/kg of 2.27 % glucose dialysate. The mean duration of CAPD treatment was 12.88±6.69 months (range 2 to 22 months). No patient had suffered from an episode of peritonitis within a month prior to the study. Dialysate to plasma ratios for creatinine (D/Pcreat) were calculated at 0, 2 and 4 hours as were the ratios of dialysate glucose at time 0 (D/D0glu). Statistical evaluation was made by using t-test and Pearson correlation analysis. Results: The average D/Pcreat after a 4-hour dwell was 0.69±0.13 in 21 pediatric patients. Similarly, the mean D/D0glu a 4-hour dwell was 0.39±0.13. When children are evaluated according to adult standards, the majority of patients fit into the high and high average solute transport categories. Mean weekly KT/Vurea values were 2.68±1.16. Conclusion: PET should be done in children with CAPD to choose the most efficient PD regimen. Since ultrafiltration is inadequate in children, rapid exchanges and/or usage of automated peritoneal dialysis should be encouraged.

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Primary Language

Turkish

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Journal Section

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Authors

Yavaşcan Ö

Kara O D

Anıl M

Aksu N

Publication Date

September 1, 2008

Submission Date

September 1, 2008

Acceptance Date

-

Published in Issue

Year 2008 Volume: 47 Number: 3

IZ

https://izlik.org/JA55AZ76WY

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1.Yavaşcan Ö, Kara O D, Anıl M, Aksu N. Çocuklarda peritoneal eşitlenme testi (PET). EJM [Internet]. 2008 Sep. 1;47(3):183-6. Available from: https://izlik.org/JA55AZ76WY

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