[Own modification of the visualization of adhesions in the peritoneal cavity in patients treated with continuous ambulatory peritoneal dialysis].

The intraperitoneal adhesions were imagined with 3 non-invasive methods such as scintigraphy, ultrasonography, computerised tomography in 25 patients (pts) on CAPD (13 females and 12 males, aged 8-72 years). Initial imaging of peritoneal cavity was performed up to 4 months after the start of CAPD and repeated every 6-12 months of further therapy. In 9 patients the adhesions where detected at the start of CAPD. Only in 4 the progression of adhesions was diagnosed as a change of the structure from single to multiple or multilocular. In all these pts, peritonitis occurred at least once in the course of CAPD. Loss of ultrafiltration resulted in transfer from CAPD to HD. In others 5 pts the consecutive images of peritoneum were stable. In 16 remaining pts the adhesions were detected in the course of CAPD programme, in 6 of these pts after peritonitis and in other 10 without known causes. In 4 pts the progression of adhesions to multiple or multilocular was detected during next 2-3 years of CAPD programme. Two of these pts had to be transferred to HD. In 12 pts the images of adhesions were stable. Together, 6 pts (24%) had to be transferred to HD, because of the progression of intraperitoneal adhesions in the course of further CAPD. In conclusion, own modification of imaging of peritoneal adhesions let us not only to estimate the influence of this complication on the intraperitoneal dialysate distribution, but also enables non-invasive monitoring of CAPD programme.