Are there any reasons for denying PD to a patient?

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