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June 1964

Prolonged Intermittent Peritoneal Dialysis in Chronic Renal Disease: Case Report of a Patient Treated for One Year

Author Affiliations


Resident, Internal Medicine (Capt Linder), and Gastroenterology Service (Lt Col Bottiglieri); Brooke General Hospital, Brooke Army Medical Center, Fort Sam Houston.; From the Department of Medicine, Brooke General Hospital, Brooke Army Medical Center, Fort Sam Houston, Tex.

Arch Intern Med. 1964;113(6):840-843. doi:10.1001/archinte.1964.00280120040008

Introduction  A technique for intermittent peritoneal lavage was introduced by Grollman et al 1 in 1951. With some modifications this method was later studied by Maxwell et al2 and Doolan et al.3 Their conclusions were essentially the same, namely, that intermittent peritoneal dialysis has the characteristics of simplicity, effectiveness, relative safety, and widespread availability. After these three reports there was a renewal of interest in this procedure as a tool in the management of certain patients with renal failure.As part of the residency training program at this hospital, the Department of Medicine organized a project in 1960 to study the efficacy of prolonged intermittent peritoneal dialysis in selected patients with uremic syndrome and oliguria secondary to chronic renal disease. Basic characteristics of the previously mentioned2,3 closed-system techniques were utilized. On some occasions commercially prepared dialysis solutions * were used; but, for the most part, the dialysis fluids