Complicaciones no Infecciosas de la Diálisis Peritoneal

Abstract

Peritoneal dialysis infusion into the peritoneal cavity is accompanied by an increase in the intraabdominal pressure. This pressure increase as well as the presence of free fluid in the peritoneal cavity can result in mechanical complications quite typical of this technique such as: hernias, pericatheter and abdominal wall leaks, genital edema and hydrothorax. Incidence, risk factors and pathogenesis of these problems are studied in this chapter, being presented in algorithms to simplify the diagnosis. Other complications such as: hemoperitoneum, pneumoperitoneum with or without a peritonitis episode and quiloperitoneum are treated in a similar manner. None of these subjects could be classified in level A or B evidences.