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Perit Dial Int 18(4): 395-401 1998
© 1998 International Society for Peritoneal Dialysis
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Peritoneal Dialysis International, Vol 18, Issue 4, 395-401
Copyright © 1998 by International Society for Peritoneal Dialysis


Articles

Comparison of growth during continuous ambulatory peritoneal dialysis and renal transplantation using conventional immunosuppressive drugs in children

K Iitaka, M Hojo, S Moriya, T Sakai, and T Endo

Department of Pediatrics, Yamato City Hospital, Kanagawa, Japan.

OBJECTIVE: Growth during continuous ambulatory peritoneal dialysis (CAPD) and after renal transplantation (Tx) was assessed in children under the age of 12 years. DESIGN: Growth was assessed by calculating the standard deviation score for height of normal children of the same age and gender. PATIENTS: Twenty-one patients undergoing CAPD and 13 patients who had received renal Tx at Kitasato University Hospital. RESULTS: Overall growth in those children undergoing CAPD and after renal Tx was not good, but growth during CAPD seemed to be slightly better than after renal Tx using conventional immunosuppressive drugs. Only young children who had started CAPD or received renal Tx before the age of 5 years with functioning graft showed catch-up growth, but the final height of these children may still be smaller than normal. CONCLUSION: Growth in children with end-stage renal disease is poor but growth during CAPD seems to be slightly better than after renal Tx using conventional immunosuppressive drugs.







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