• Peritoneal dialysis is the preferred method of
chronic dialysis in children with end-stage renal disease.
• Children receiving peritoneal dialysis have less daytime disruption
of school and social activities.
• Because peritoneal dialysis is performed every day, a more liberal
fluid and dietary regimen is possible.
• Peritoneal dialysis might be the only option available to small
infants who cannot tolerate the large fluid shifts and large extracorporeal
circuit volume of hemodialysis, and to those patients who do not
have adequate vascular access for hemodialysis.
• However, hemodialysis might be the only option for RRT for those
children who have had extensive abdominal surgery, who have a social
situation that precludes home dialysis, or in whom peritoneal dialysis
has already failed due to repeated bouts of peritonitis or other
• Hemodialysis and CRRT remain the treatments of choice for inborn
errors of metabolism and toxic ingestions because peritoneal dialysis
does not provide efficient and rapid clearance of metabolites and