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Figueiredo AE, Hurst H, Neumann JL, Chow JSF, Walker R, Woodhouse J, Punzalan S, Tomlins M, Cave K, Brunier G. Nursing management of catheter-related non-infectious complications of PD: Your questions answered. Perit Dial Int 2024:8968608241246449. [PMID: 38770907 DOI: 10.1177/08968608241246449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024] Open
Abstract
A review from the last seven years (August 2016-July 2023) of questions posted to the International Society for Peritoneal Dialysis (ISPD) website "Questions about PD" by nurses and physicians from around the world revealed that 19 of the questions were associated with optimal approaches for preventing, assessing, and managing issues related to PD catheter non-infectious complications. Our review focused on responses to these questions whereby existing best practice recommendations were considered, if available, relevant literature was cited and differences in international practices discussed. We combined similar questions, revised both the original questions and responses for clarity, as well as updated the references to these questions. PD catheter non-infectious complications can often be prevented or, with early detection, the potential severity of the complication can be minimized. We suggest that the PD nurse is key to educating the patient on PD about PD catheter non-infectious complications, promptly recognize a specific complication and bring that complication to the attention of the Home Dialysis Team. The questions posted to the ISPD website highlight the need for more education and resources for PD nurses worldwide on the important topic of non-infectious complications related to PD catheters, thereby enabling us to prevent such complications as PD catheter malfunction, peri-catheter leakage and infusion or drain pain, as well as recognize and resolve these issues promptly when they do arise, thus allowing patients to extend their time on PD therapy and enhance their quality of life whilst on PD.
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Affiliation(s)
- Ana E Figueiredo
- Curso de Enfermagem, Escola de Ciência da Sáude e da Vida, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Helen Hurst
- School of Health and Society, University of Salford, UK
| | | | | | - Rachael Walker
- University of Auckland, New Zealand and Hawke's Bay District Health Board, Hastings, New Zealand
| | - Jayne Woodhouse
- Oxford Kidney Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | | | - Melinda Tomlins
- John Hunter Hospital, Hunter New England Local Health District, NSW, Australia
| | - Katie Cave
- Peritoneal Dialysis Unit, Abbotsford Regional Hospital and Cancer Centre, Fraser Health, BC, Canada
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2
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Shinzawa M, Matsumoto A, Kitamura H, Sakaguchi Y, Takahashi A, Matsui I, Mizui M, Yamamoto R, Isaka Y. The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study. Clin Exp Nephrol 2024; 28:245-253. [PMID: 37962745 PMCID: PMC10881681 DOI: 10.1007/s10157-023-02416-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 09/25/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND Compared with the conventional peritoneal dialysis (PD) catheter insertion, embedding PD catheter implantation is one of the procedures for planned PD initiation. However, facilities where embedded PD catheter implantation is available are limited, and the impact of embedded PD catheter implantation on hospitalization cost and length of hospitalization is unknown. METHODS This retrospective single-center cohort study included 132 patients with PD initiation between 2005 and 2020. The patients were divided into two groups: 64 patients in the embedding group and 68 patients in the conventional insertion group. We created a multivariable generalized linear model (GLM) with the gamma family and log-link function to evaluate the association among catheter embedding, the duration and medical costs of hospitalization for PD initiation. We also evaluated the effect modification between age and catheter embedding. RESULTS Catheter embedding (β coefficient - 0.13 [95% confidence interval - 0.21, - 0.05]) and age (per 10 years 0.08 [0.03, 0.14]) were significantly associated with hospitalization costs. Catheter embedding (- 0.21 [- 0.32, - 0.10]) and age (0.11 [0.03, 0.19]) were also identified as factors significantly associated with length of hospitalization. The difference between the embedding group and the conventional insertion group in hospitalization costs for PD initiation (P for interaction = 0.060) and the length of hospitalization (P for interaction = 0.027) was larger in young-to-middle-aged patients than in elderly patients. CONCLUSIONS Catheter embedding was associated with lower hospitalization cost and shorter length of hospitalization for PD initiation than conventional PD catheter insertion, especially in young-to-middle-aged patients.
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Affiliation(s)
- Maki Shinzawa
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
- Health and Counseling Center, Osaka University, Toyonaka, Japan.
| | - Ayumi Matsumoto
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Harumi Kitamura
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Yusuke Sakaguchi
- Department of Inter-Organ Communication Research in Kidney Disease, Osaka University Graduate School of Medicine, Suita, Japan
| | - Atsushi Takahashi
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Isao Matsui
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Masayuki Mizui
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Ryohei Yamamoto
- Health and Counseling Center, Osaka University, Toyonaka, Japan
- Laboratory of Behavioral Health Promotion, Department of Health Promotion Medicine , Osaka University Graduate School of Medicine, Toyonaka, Japan
| | - Yoshitaka Isaka
- Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
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3
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Zhang X, Hu Y, Jing F, Tian C, Wei Q, Li K, Zheng L, Liu J, Zhang J, Bian Y. Confirmation of intestinal and bladder perforations in a peritoneal dialysis patient using SPECT/CT: a case report and review of literature. Front Med (Lausanne) 2024; 10:1327295. [PMID: 38259858 PMCID: PMC10800964 DOI: 10.3389/fmed.2023.1327295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 12/14/2023] [Indexed: 01/24/2024] Open
Abstract
Background Peritoneal dialysis (PD) is a common treatment method for patients with renal failure. While peritonitis and tube floating migration are commonly observed complications, visceral perforation caused by PD is relatively rare. We present a case report of a patient undergoing PD due to renal failure, who encountered two instances of visceral perforation. In both occurrences, Single-Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) played a pivotal role in providing accurate diagnoses and precise localization of the perforation sites. This report underscores the paramount significance of SPECT/CT in diagnosing visceral perforations in the context of PD. Case presentation A 73-year-old elderly male has been undergoing PD for 1 year due to renal failure. Recently, there has been impaired drainage of the PD catheter. The clinical team suspected the occurrence of peritonitis. The patient underwent a 99mTc Sodium Pertechnetate (99mTc-NaTcO4) SPECT/CT examination, which identified intestinal perforation. After 20 days of conservative treatment, a SPECT/CT follow-up examination revealed the resolution of the intestinal perforation, but a new bladder perforation emerged. The dialysis catheter was methodically and gradually withdrawn in stages while simultaneously performing bladder decompression. Following these interventions, the patient remained free from peritonitis and cystitis. Conclusion The utilization of SPECT/CT proved to be highly valuable in the accurate diagnosis of visceral perforation, a relatively rare complication observed in PD patients.
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Affiliation(s)
- Xinchao Zhang
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Yujing Hu
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Fenglian Jing
- Department of Nuclear Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
| | - Congna Tian
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Qiang Wei
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Kang Li
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Lu Zheng
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Jiale Liu
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Jingjie Zhang
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
| | - Yanzhu Bian
- Department of Nuclear Medicine, Hebei General Hospital, Shijiazhuang, China
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4
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Zhou R, Luo M, Tang H, Yang T, Ma H, Wang Z, Zhang X, Guo B. Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation. Clin Case Rep 2024; 12:e8390. [PMID: 38188853 PMCID: PMC10769894 DOI: 10.1002/ccr3.8390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 12/12/2023] [Accepted: 12/20/2023] [Indexed: 01/09/2024] Open
Abstract
Delayed intestinal perforation has various manifestations. For peritonitis with delayed treatment and multi-bacterial peritonitis, we should be alert to the occurrence of this rare complication. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis. Delayed intestinal perforation of peritoneal dialysis catheter is a rare but serious complication. We reported a 49-year-old patient who had been hospitalized twice within 3 months due to poor drainage of the peritoneal dialysis catheter. During the first hospitalization, peritoneal dialysis-related peritonitis was diagnosed, and a variety of bacterial infections were cultivated. However, at that time, the actual peritoneal dialysis catheter-related intestinal perforation was missed, and he was discharged after anti-infection treatment until a clinical cure was met. After more than 2 months of normal peritoneal dialysis after returning home, the patient again had poor drainage of the peritoneal dialysis catheter, accompanied by the outflow of yellowish-brown sediment. It was found that the peritoneal dialysis catheter had evidence of intestinal perforation. After the removal of the catheter and intestinal repair, he recovered and was discharged from the hospital and received long-term hemodialysis treatment. In the case of delayed intestinal perforation, peritoneal dialysis was maintained normally for more than 2 months, which was an unprecedented situation in previous case reports. In addition, we should be alert to the occurrence of this rare complication, especially when we find the occurrence of polybacterial Peritonitis. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis.
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Affiliation(s)
- Ru Zhou
- Department of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical CollegeJinan University; The First Affiliated Hospital, Southern University of Science and TechnologyShenzhenChina
| | - Minhong Luo
- Department of NephrologyThe Eighth Affiliated Hospital of Sun Yat‐sen UniversityShenzhenChina
| | - Hairong Tang
- Department of NephrologyThe Eighth Affiliated Hospital of Sun Yat‐sen UniversityShenzhenChina
| | - Tiecheng Yang
- Department of NephrologyThe Eighth Affiliated Hospital of Sun Yat‐sen UniversityShenzhenChina
| | - Hualin Ma
- Department of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical CollegeJinan University; The First Affiliated Hospital, Southern University of Science and TechnologyShenzhenChina
| | - Zhen Wang
- Department of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical CollegeJinan University; The First Affiliated Hospital, Southern University of Science and TechnologyShenzhenChina
| | - Xinzhou Zhang
- Department of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical CollegeJinan University; The First Affiliated Hospital, Southern University of Science and TechnologyShenzhenChina
| | - Baochun Guo
- Department of Nephrology, Shenzhen Peoples Hospital, The Second Clinical Medical CollegeJinan University; The First Affiliated Hospital, Southern University of Science and TechnologyShenzhenChina
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5
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Imam TH, Yamanishi FJ, Patel SS, Chuang JJ. Peritoneal dialysis catheter exit via rectum. Perit Dial Int 2022; 42:540-541. [PMID: 35383505 DOI: 10.1177/08968608221091024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Talha H Imam
- Department of Nephrology, Kaiser Permanente, Fontana, CA, USA
| | | | - Sunal S Patel
- Department of Surgery, Kaiser Permanente, Fontana, CA, USA
| | - Jesse J Chuang
- Department of Nephrology, Kaiser Permanente, Fontana, CA, USA
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6
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Oza-Gajera BP, Abdel-Aal AK, Almehmi A. Complications of Percutaneous Peritoneal Dialysis Catheter. Semin Intervent Radiol 2022; 39:40-46. [PMID: 35210731 PMCID: PMC8856778 DOI: 10.1055/s-0041-1741484] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
A functional peritoneal dialysis (PD) catheter is the cornerstone for the success of renal replacement therapy. This success is largely dependent on adhering to best practices during catheter insertion, which starts with a comprehensive preoperative evaluation that helps in determining the catheter configuration type and both entry and exit sites. Additionally, following the best practice guidelines during PD catheter insertion minimizes undesirable complications and provides a durable functional access for dialysis. However, adverse complications are still encountered despite abiding with these clinical guidelines. These complications are categorized into mechanical and infectious groups. The description and management of these adverse events are discussed in detail in this article with particular attention to the technical pitfalls that can occur during catheter insertion. Avoiding these pitfalls can minimize PD catheter complications and potentially improve clinical outcomes.
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Affiliation(s)
| | - Ahmed K. Abdel-Aal
- Department of Interventional Radiology, University of Texas at Houston, Houston, Texas
| | - Ammar Almehmi
- Department of Radiology and Medicine, University of Alabama at Birmingham, Birmingham, Alabama,Address for correspondence Ammar Almehmi, MD 619 19th Street South, Birmingham, AL 35249
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7
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Maxime T, Salvatore B, Véronique T, Marie-Caroline DP, Maria do Carmo Filomena M, Eric G. Foreign body ingestion-related peritonitis in an elderly peritoneal dialysis patient. SAGE Open Med Case Rep 2021; 9:2050313X211056414. [PMID: 34733520 PMCID: PMC8558782 DOI: 10.1177/2050313x211056414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 10/12/2021] [Indexed: 12/05/2022] Open
Abstract
Among peritoneal dialysis patients, peritoneal dialysis-related peritonitis is a well-known complication, but it can also be non-peritoneal dialysis-related (e.g. ruptured appendix). Ileal perforation by foreign bodies such as blister pill packs can be seen in the emergency room. Differentiating this from peritoneal dialysis-related peritonitis can be difficult, since they can have both identical presentations. Computed tomography can be of value in detecting abscess, thickening of the digestive wall or adhesions, and exclude other causes of intra-abdominal sepsis. Because of the aging population, ingestion of foreign body can be expected to rise. We therefore recommend that blister pill packs should not be divided into single-dose pieces, and we invite elderly patient’s entourage to check medication administration. Furthermore, manufacturing efforts are highly recommended to improve blister pill pack’s design, to avoid accidental ingestion. We report the case of an elderly peritoneal dialysis patient who presented with peritonitis due to ileal perforation because of blister pill pack ingestion.
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Affiliation(s)
- Taghavi Maxime
- Nephrology Clinic, Department of Internal Medicine, CHU Brugmann, Université libre de Bruxelles, Brussels, Belgium
| | - Bellavia Salvatore
- Nephrology and Dialysis Clinic, Centre Hospitalier Régional de Huy, Huy, Belgium
| | - Thibaut Véronique
- Nephrology Clinic, Department of Internal Medicine, CHU Brugmann, Université libre de Bruxelles, Brussels, Belgium.,Nephrology and Dialysis Clinic, Centre Hospitalier Régional de Huy, Huy, Belgium.,Radiology Département, Centre Hospitalier Régional de Huy, Huy, Belgium.,Department of Pathology, Liège University Hospital (site Huy), Huy, Belgium
| | | | | | - Godon Eric
- Nephrology and Dialysis Clinic, Centre Hospitalier Régional de Huy, Huy, Belgium
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8
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Masaki C, Matsushita K, Inoue T, Shima H, Chikakiyo M, Yamada M, Shirono R, Tashiro M, Tada H, Takamatsu N, Wariishi S, Okada K, Minakuchi J. Splenic abscess diagnosed following relapsing sterile peritonitis in a peritoneal dialysis patient: A case report with literature review. Semin Dial 2021; 34:245-251. [PMID: 33609413 DOI: 10.1111/sdi.12953] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 12/31/2020] [Indexed: 11/30/2022]
Abstract
Peritoneal dialysis (PD)-related peritonitis is sometimes complicated with other infections; however, few cases of splenic abscess have been reported. We present the case of a 64-year-old PD patient with complicated splenic abscesses diagnosed following relapsing sterile peritonitis. After PD induction, he presented with turbid peritoneal fluid and was diagnosed with PD-related peritonitis. A plain abdominal computed tomography (CT) did not reveal any intra-abdominal focus of infection. After empiric intravenous antibiotics, the peritoneal dialysate was initially cleared, with a decrease in dialysate white blood cells (WBC) to 20/µL. However, WBC and C-reactive protein (CRP) levels remained elevated. A contrast-enhanced abdominal CT showed two areas of low-density fluid with no enhancement in a mildly enlarged spleen, making it difficult to distinguish abscesses from cysts. Due to relapsing sterile peritonitis, we performed an abdominal ultrasonography, and suspected splenic abscesses due to rapid increase in size. Repeated imaging tests were useful in establishing a diagnosis of splenic abscesses. Considering the persistent elevation of WBC and CRP levels, imaging findings, and episodes of relapsing peritonitis, we comprehensively formed the diagnosis, and performed a splenectomy as a rescue therapy. We should consider the possibility of other infectious foci with persistent inflammation after resolving PD-related peritonitis.
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Affiliation(s)
- Chiaki Masaki
- Department of Laboratory, Kawashima Hospital, Tokushima, Japan
| | - Kenta Matsushita
- Department of Surgery, Tokushima Prefectural Central Hospital, Tokushima, Japan
| | - Tomoko Inoue
- Department of Kidney Disease, Kawashima Hospital, Tokushima, Japan
| | - Hisato Shima
- Department of Kidney Disease, Kawashima Hospital, Tokushima, Japan
| | - Motoya Chikakiyo
- Department of Surgery, Tokushima Prefectural Central Hospital, Tokushima, Japan
| | - Mayumi Yamada
- Department of Laboratory, Kawashima Hospital, Tokushima, Japan
| | - Ryozo Shirono
- Department of Radiology, Kawashima Hospital, Tokushima, Japan
| | - Manabu Tashiro
- Department of Kidney Disease, Kawashima Hospital, Tokushima, Japan
| | - Hiroaki Tada
- Department of Laboratory, Kawashima Hospital, Tokushima, Japan
| | | | - Seiichiro Wariishi
- Department of Cardiovascular Surgery, Kawashima Hospital, Tokushima, Japan
| | - Kazuyoshi Okada
- Department of Kidney Disease, Kawashima Hospital, Tokushima, Japan
| | - Jun Minakuchi
- Department of Kidney Disease, Kawashima Hospital, Tokushima, Japan
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9
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Lima M, Di Salvo N, Marchi G, Catania VD, Libri M, Gargano T. Peritoneal dialysis catheters in pediatric patients: 10 years of experience in a single centre. LA PEDIATRIA MEDICA E CHIRURGICA 2020; 42. [PMID: 33103403 DOI: 10.4081/pmc.2020.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Accepted: 08/14/2020] [Indexed: 11/23/2022] Open
Abstract
Peritoneal Dialysis (PD) is one of the numerous options for chronic dialysis and in many cases when access for acute dialysis is required early in a hospital course, at any age. PD catheter can be inserted with an open or laparoscopic approach. The complication rate after catheter insertion is still high, as reported in published literature. We present the experience matured at our Centre in the last 10 years on implantation of peritoneal dialysis catheters in children, emphasising surgical complications. We conducted a retrospective study on patients who underwent PD at our Centre in a range period of 10 years. We analysed patients 'demographic data, past and present medical, perioperative and post-operative data, permanence of the catheter, duration of dialysis, the gap between placement and use, outcomes and complications. We compared the data, dividing patients in 2 groups: patients operated with a traditional open technique and patients operated laparoscopically. We retrospectively reviewed 29 children with an average age of 3years and 6 months. Mean age was 42 months (1 month; 8 years) for the VLS group, 18 months (11 days, 4 years) for the OT group. Mean operative time was 106 min for the VLS group; 44 min for the OT group. The Catheter permanence period was 17 days (12h-64 days). Duration of dialysis was between 48 hours and 23 days (average 8 days). In the total population, we registered 8 complications (5 minor, 3 major), the overall complication rate being 33 % (minor complication rate 21%, major complication rate 12,5 %). 6 complications occurred in patients operated laparoscopically (6/14 = 36 %); 2 complications in the OT group (2/10 = 20 %). The complication rate after PD catheter insertion is still high. Advantages and disadvantages of the open and laparoscopic approach must be known. Both minor and major complications, such as bowel perforations and occlusions, must be understood and differentiated.
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Affiliation(s)
- Mario Lima
- Department of Pediatric Surgery, Sant'Orsola University-Hospital, University of Bologna.
| | - Niel Di Salvo
- Department of Pediatric Surgery, Sant'Orsola University-Hospital, University of Bologna.
| | - Giovanni Marchi
- Department of Pediatric Surgery, Sant'Orsola University-Hospital, University of Bologna.
| | | | - Michele Libri
- Department of Pediatric Surgery, Sant'Orsola University-Hospital, University of Bologna.
| | - Tommaso Gargano
- Department of Pediatric Surgery, Sant'Orsola University-Hospital, University of Bologna.
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10
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Shao Q, Xia Y, Zhang Q, Zhang M. Intestinal fistula accompanied by recurrent peritonitis associated with peritoneal dialysis: a case report. BMC Gastroenterol 2020; 20:157. [PMID: 32448191 PMCID: PMC7245831 DOI: 10.1186/s12876-020-01303-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 05/11/2020] [Indexed: 11/13/2022] Open
Abstract
Background Intestinal perforation from peritoneal dialysis is rare, but the resulting complications are serious. Some patients do not necessarily have symptoms, and it can be difficult to differentiate their condition from PD-related (peritoneal dialysis-related) peritonitis, which may lead to misdiagnosis. Here we report a peritoneal dialysis patient with intestinal fistula associated with recurrent peritonitis. Case presentation A 44-year-old man had been treated for more than 6 years with peritoneal dialysis for chronic kidney disease stage-V. Abdominal computed tomography and electronic colonoscopy revealed an appendiceal fossa with adjacent fistula. The peritoneal dialysis catheter was removed, and the patient recovered with no recurrence of complications. Conclusion We report a case of a rare complication of peritoneal dialysis. The intestinal fistula in this patient was mainly caused by recurrent peritonitis and removal of the catheter could control the peritonitis.
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Affiliation(s)
- Qiuyuan Shao
- Department of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, 210008, China.
| | - Yangyang Xia
- Department of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, 210008, China
| | - Qingyan Zhang
- Department of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, 210008, China
| | - Miao Zhang
- Department of Nephrology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, 210008, China
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11
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Handa T, Suzuki H, Matsubara H, Terajima H, Tsukamoto T. Unusual communication of an embedded peritoneal dialysis catheter with the colon before use: a case report with literature review. RENAL REPLACEMENT THERAPY 2019. [DOI: 10.1186/s41100-019-0219-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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12
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Yanai K, Ueda Y, Minato S, Kaneko S, Mutsuyoshi Y, Ishii H, Kitano T, Shindo M, Aomatsu A, Miyazawa H, Ito K, Hirai K, Hoshino T, Ookawara S, Morishita Y. Delayed peritoneal dialysis catheter-intestinal fistula. Nephrology (Carlton) 2019; 23:890-891. [PMID: 30134506 DOI: 10.1111/nep.13204] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Katsunori Yanai
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | - Yuichiro Ueda
- First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Saori Minato
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | - Shohei Kaneko
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | - Yuko Mutsuyoshi
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | - Hiroki Ishii
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | - Taisuke Kitano
- First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Mitsutoshi Shindo
- First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Akinori Aomatsu
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | | | - Kiyonori Ito
- First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Keiji Hirai
- First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Taro Hoshino
- First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan
| | - Susumu Ookawara
- Division of Nephrology, Jichi Medical University, Saitama, Japan
| | - Yoshiyuki Morishita
- Division of Nephrology, Jichi Medical University, Saitama, Japan.,Nephrology and Kidney Center, Jichi Medical University, Shimotsuke, Japan
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