{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T19:14:36Z","timestamp":1721934876014},"reference-count":0,"publisher":"Sociedad Chilena de Pediatria","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Chil Pediatr"],"abstract":"<jats:p>La enfermedad renal cr\u00f3nica terminal (ERCT) tiene una incidencia de 5,5 a 9 ppm, y una prevalencia de 23 a 65 ppm en menores de 15 a\u00f1os. La di\u00e1lisis peritoneal (DP) cr\u00f3nica representa en pediatr\u00eda la terapia de reemplazo renal m\u00e1s usada, previo al trasplante renal. Existen 2 tipos de DP cr\u00f3nicas, manual (DPCA) y automatizada (DPA), cuya elecci\u00f3n se basa en las caracter\u00edsticas del peritoneo evaluado mediante el test de equilibrio peritoneal (PET), que divide a los pacientes en transportadores altos (intercambio r\u00e1pido), promedio alto, promedio bajo, y bajos (intercambio lento). Este test eval\u00faa b\u00e1sicamente el transporte de solutos, al cual se ha sumado el MiniPET, que eval\u00faa el transporte peritoneal de agua libre. Se debe igualmente determinar la cuant\u00eda de di\u00e1lisis (Kt\/V), que representa la dosis de di\u00e1lisis aplicada, con un valor m\u00ednimo sugerido de 1,7, relacionado a la morbimortalidad. Estos par\u00e1metros deben ser evaluados peri\u00f3dicamente para ajustar la DP, y cada vez que se sospeche una depuraci\u00f3n o ultrafiltraci\u00f3n inadecuadas. El objetivo de esta revisi\u00f3n es entregar conceptos b\u00e1sicos sobre fisiolog\u00eda del transporte peritoneal, modalidades de DP, evaluaci\u00f3n del transporte de agua y solutos peritoneal, y el c\u00e1lculo de la dosis de di\u00e1lisis para una di\u00e1lisis ajustada a las necesidades de cada paciente, como tambi\u00e9n revisar los mecanismos de correcci\u00f3n y ajuste del procedimiento cada vez que se requiera.<\/jats:p>","DOI":"10.32641\/rchped.v91i2.1242","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T16:40:47Z","timestamp":1588005647000},"page":"265","source":"Crossref","is-referenced-by-count":4,"title":["ABC de la di\u00e1lisis peritoneal en pediatr\u00eda"],"prefix":"10.32641","volume":"91","author":[{"given":"Macarena","family":"Gajardo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Cano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17639","published-online":{"date-parts":[[2020,4,22]]},"container-title":["Revista Chilena de Pediatr\u00eda"],"original-title":[],"link":[{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/1242\/1344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/1242\/1344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T18:28:19Z","timestamp":1618252099000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/view\/1242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,22]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,22]]}},"URL":"https:\/\/doi.org\/10.32641\/rchped.v91i2.1242","relation":{},"ISSN":["0370-4106","0370-4106"],"issn-type":[{"value":"0370-4106","type":"electronic"},{"value":"0370-4106","type":"print"}],"subject":[],"published":{"date-parts":[[2020,4,22]]}}}