Review Articles: Management Options for Hydrothorax Complicating Peritoneal Dialysis
- 9 September 2003
- journal article
- review article
- Published by Wiley in Seminars in Dialysis
- Vol. 16 (5), 389-394
- https://doi.org/10.1046/j.1525-139x.2003.16080.x
Abstract
Hydrothorax as a result of pleuroperitoneal communication occurs in approximately 2% of continuous ambulatory peritoneal dialysis (CAPD) patients. Although our understanding of its mechanisms is incomplete, it is apparent that the key to successful therapy is obliteration of a transdiaphragmatic route of dialysate leakage (pleuroperitoneal communication), possibly coupled with reduction of intra-abdominal pressure. This review corroborated the findings from 10 major population-based case series in which 60 of the 104 cases (58%) were able to resume long-term peritoneal dialysis (PD). Temporary interruption of PD alone was successful in half of them. As compared to this conservative approach, as well as chemical pleurodesis via intercostal chest drain, video-assisted thoracoscopic intervention (including direct pleurodesis and diaphragmatic repair) has shown a promising role. Efficacy of thoracoscopic treatment has been confirmed by several case series from various centers and the demonstration of a success rate in excess of 90%. With accumulating experience using the thoracoscopic technique, it remains to be seen whether this mode of treatment will obviate the traditional closed pleurodesis.This publication has 53 references indexed in Scilit:
- Pleuroperitoneal fistulaThe Annals of Thoracic Surgery, 2002
- Video-assisted thoracoscopic treatment for pleuroperitoneal communication in peritoneal dialysisEuropean Journal of Cardio-Thoracic Surgery, 2001
- Video-assisted talc pleurodesis in the management of pleural effusion secondary to continuous ambulatory peritoneal dialysis: A report of three casesAmerican Journal of Kidney Diseases, 1996
- Treatment of Hydrothorax Complicating Continuous Ambulatory Peritoneal DialysisNephron, 1995
- Acute Hydrothorax in Continuous Ambulatory Peritoneal Dialysis – A Collaborative Study of 161 CentersAmerican Journal of Nephrology, 1989
- Surgical management of peritoneal dialysis catheters in children: Five-year experience with 1,800 patient-month follow-upJournal of Pediatric Surgery, 1986
- Massive Hydrothorax Complicating Continuous Ambulatory Peritoneal DialysisNephron, 1983
- Hydrothorax in a patient receiving continuous ambulatory peritoneal dialysis: successful treatment with intermittent peritoneal dialysisArchives of Internal Medicine, 1982
- Acute hydrothorax during peritoneal dialysisThe Journal of Pediatrics, 1979
- Acute hydrothorax---a new complication of peritoneal dialysisJAMA, 1967