046) and with secondary failure (p = 0.03). In multivariate analysis, secondary failure cases were replaced with higher successful rate than primary failure cases (Odds ratio [OR] 7.33, p = 0.038). Serious complications, such as abdominal trauma or peritonitis, were not observed. Conclusion: Fluoroscopic manipulation using an alpha-replacer may be safe and effective for management of peritoneal catheter malposition, particularly in patients who were under functional PD therapy

until catheter malposition. YAN JIA-JUN, HUNG KAI-YIN, CHAO MEI-CHEN, CHEN JIN-BOR Kaohsiung Chang Gung Memorial Hospital Introduction: Dyslipidemia in peritoneal dialysis (PD) patients has not been fully understood. Glucose-based dialysis solutions may contribute to the abnormal lipid metabolism. BAY 80-6946 in vivo The study was to investigate whether glucose dwell amount or dietary intake affected the serum triglyceride (TG) levels in PD patients. Methods: Lipid profiles, dietary intake, and glucose dwell amount were measured in seventy-two PD patients for one year in one PD center. The patients were divided into two groups with a cut-off point of serum TG level 150 mg/dL. There were twenty-four PD patients with serum TG levels BAY 73-4506 higher than 150 mg/dL (mean age of 56.5 ± 9.0 years) and forty-eight patients had serum TG in normal

range (mean age of 52.5 ± 11.2 years). Dietary intake was assessed by renal dietitians. Total energy intake included oral intake and glucose absorption from dialysate. Glucose dwell amount was estimated by using the ratio of D4/D0 from peritoneal equilibration test. T-test was applied to measure the differences of lipid profiles, dietary intake, and glucose dwell amount between the two groups. Multivariate analysis was used to test the effects of dietary intake and glucose dwell amount on serum TG levels. Results: There were no significant differences in age, gender, PD duration, statin usage, residual renal Kt/V, total Kt/V values, total cholesterol levels, low-density lipoprotein selleckchem (LDL) levels,

serum albumin levels, glucose dwell amount, and total energy intake between the two groups. However, the higher serum TG group had significant higher body mass index (BMI, 23.8 ± 4.9 vs. 21.5 ± 3.3, p = 0.02) and lower high-density lipoprotein (HDL, 45.3 ± 12.6 vs. 65.6 ± 15.6, p = 0.001). The multivariate analysis showed that only HDL had a significant effect on serum TG levels (p = 0.0001). Conclusion: PD patients with hypertriglyceridemia did not have significantly higher total energy intake and glucose dwell amount. High BMI had a tendency to raise TG levels in PD patients. In addition, HDL levels had a significant effect on serum TG levels in PD patients. NANNAR PATCHARIN1, KUMPHUBUD PARIDA2, YONGSIRI SOMCHAI3 1RN. Faculty of Medicine, Burapha University, Thailand; 2RN Renal Unit, Faculty of Medicine, Burapha University, Thailand; 3MD.