Abstract
Continuous ambulatory peritoneal dialysis (CAPD) is now accepted world widely as effective dialytic method for chronic renal failure.
In this review, the procedure, characteristics of solutes and fluid removal, complications and management are introduced. Some aspects of metabolic consequences such as glucose, potein and lipid metabolism, calcium, phosphorus, parathyroid hormone, vitamin D and dialytic bone disease are discussed.
Additionaly, the clinical experience of CAPD in Japan are discribed.
In Japan, dialytic system is promptly operated, however, the rehabilitation status is far from satisfaction, because of lower population of kidney transplantation than that of other countries. In this situation, CAPD migt be substitutable for kidney transplantation as anoher advantageous dialytic method for achieving good rehabilitation.
