Does the high BMI actually value disqualifying the patient from peritoneal dialysis treatment?

Abstract

We present the history of 53-years old female with 41.5 BMI, who was treated with peritoneal dialysis due to the lack of regular vascular access to hemodialysis and contraindications to kidney transplantation. We contin­ued peritoneal dialysis for 6 years without any compli­cations resulting from this method of treatment. Introduction of peritoneal dialysis to obese persons is not an easy decision and should be always indi­vidualized. Published data does not specify which renal replacement therapy — hemodialysis or peri­toneal dialysis is superior/better for obese patients. Nowadays obesity is no longer considered as abso­lute contraindication to peritoneal dialysis especially if such is the patient’s will — patient’s preferences should be taken into consideration at all times.