Are there any reasons to deny a person PD?
One reason is (PBS) Prune Belly Syndrome…other reasons could be that the abdomen cavity capilaries is damaged…these are the only ones I know of…
Shetty & Oreopoulos reported the following reasons why someone should not do PD:
- when the peritoneum has been found to not transport wastes using PD
- Crohn’s disease, ulcerative colitis
- inflammation or infection of a pouch in the intestine (diverticulitis)
- pockets of fluid or pus in the abdomen
- reduced blood flow to the bowel
- severe active psychotic disorder
- when someone has very low intellectual capacity
- women starting dialysis in the last three months of pregnancy
- severe malnutrition
- multiple scars of the peritoneum, usually from surgery
- ostomies
- proteinuria >10 g/day
- emphysema, chronic bronchitis and other long-standing lung diseases
- extra fluid in peritoneal cavity (ascites)
- in someone with a tube that drains fluid from the brain into the peritoneum to relieve pressure on the brain
- no arms and no help at home
- poor hygiene
- poor memory
- homelessness
You can read the whole article from Dialysis & Transplantation at www.eneph.com/feature_archive/peritoneal/v29n2p71.htm.