Contraindications to the use of peritoneal dialysis in children

Absolute contraindications

Abdominal wall defects (ie, omphalocele, gastroschisis)

Bladder exstrophy

Diaphragmatic hernia

Obliterated peritoneal cavity

Peritoneal membrane failure

Relative contraindications

Scheduled/recent major abdominal surgery (within 3 months)

Infants with significant organomegaly

Lack of appropriate caregiver support

Inadequate living situation for home dialysis

Presence of ileostomy and/or colostomy^*

This table summarizes the absolute and relative contraindications to peritoneal dialysis in children. For additional information, please refer to separate UpToDate topics on chronic kidney disease in children.

* These do not preclude peritoneal dialysis but may be associated with a higher risk of complications.

Graphic 141890 Version 1.0

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Contraindications to the use of peritoneal dialysis in children