BACKGROUND:

At our hospital, peritoneal dialysis is a first-instance renal substitution method. Septae in the abdominal cavity of children with renal insufficiency comprise complications for repeated manifestations of peritonitis.

OBJECTIVE:

To determine conditions related with the development of septae in the abdominal cavity of pediatric patients with peritoneal dialysis.

MATERIALS AND METHODS:

Observational retrospective study from March 2012 to October 2014 that included pediatric patients with chronic renal disease with peritoneal dialysis. The presence of septae was determined by abdominal UltraSound (US). Inferential statistics with Fisher exact test and Mann–Whitney U, risk association with Odds Ratio (OR). Sixty patients in two groups: the group with septae n=20, and the group without septae n=40. Masculine gender n=11 (55%) vs. n=25 (62%): age (years), median 8 years (range, 0.5–15 years) vs. 9 years (range, 0.5–16) p=0.756; median dialysis duration 12 months (range, 4–60 months) vs. 16 months (range, 2–81 months) p=0.653.

RESULTS:

Etiology of undetermined renal insufficiency n=13 (65%) vs. n=25 (62%), and related factors: hyperosmolar glycosylated solution n=5 (25%) vs. n=11 (28%) p=0.917; abdominal surgery after Tenckoff n=3 (15%) vs. n=7 (18%); clinical manifestations of peritonitis n=20 (100%) vs. n=29 (72%) p=0.025, and systemic treatment n=19 (95%) vs. n=22 (55%) in the groups with and without septae (p=0.004).

CONCLUSIONS:

Number of events of peritonitis and systemic treatment are factors related with the development of abdominal septae in children with chronic renal insufficiency in peritoneal dialysis.