Surgical complications after peritoneal dialysis catheter implantation depend on children's weight

Journal of Pediatric Surgery
Josephine RadtkeMartina Koch

Abstract

Surgical complications are estimated to be as high as 30%-40% during the first 8 weeks after implantation of peritoneal dialysis (PD) catheters. 70 PD catheters which were implanted by transplant surgeons in 61 children (median age 3.3years, range 0.01-15.5years, 31 boys and 30 girls) in 2009-2014 were retrospectively reviewed. The incidence of complications and revisions during the first 6months after implantation was analyzed depending on children's weight and diagnosis. 17 out of 70 catheters needed a surgical revision within 6months after implantation (24.3%). Peritonitis was the most common complication affecting 18.6% of peritoneal dialysis catheters followed by obstruction and dislocation, which it occurred in 9 (12.9%) and 7 (10%) catheters, respectively. Leakage (n=5) only occurred in children with a weight of less than 10kg. The total proportion of complications was higher in children with less than 10kg of weight (P<0.001). PD is safe in children with acute renal failure and older children with chronic renal failure; however children with a weight of less than 10kg are more likely to develop complications.

References

Dec 20, 2003·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Vladimirs StrazdinsUNKNOWN European Pediatric Peritoneal Sialysis Working Group
Jun 1, 2006·Pediatric Surgery International·Francesco MacchiniSergio Luzzani
Jul 17, 2007·Pediatric Transplantation·Stuart L Goldstein
Oct 4, 2007·Pediatric Transplantation·Blanche ChaversAbhinav Humar
Mar 1, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Hanne LaakkonenKai Rönnholm
Mar 13, 2010·Journal of Pediatric Surgery·Randolph K CribbsKurt F Heiss
Mar 4, 2011·American Journal of Surgery·Alan P LaddNathan M Novotny
Jun 15, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Enrico VidalUNKNOWN Italian Registry of Paediatric Chronic Dialysis
Oct 12, 2012·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Aleksandra M ZurowskaUNKNOWN European Paediatric Dialysis Working Group
Jul 31, 2013·Journal of Pediatric Surgery·Matthew L StoneBartholomew J Kane
Jun 28, 2015·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Hannu JalankoChrister Holmberg

❮ Previous
Next ❯

Citations

Dec 3, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Dagmara Borzych-DuzalkaUNKNOWN International Pediatric Peritoneal Dialysis Network (IPPN) Registry
Sep 11, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Anh TaGustavo A Villalona
Mar 22, 2021·The Journal of Surgical Research·Rachelle N DamleGustavo A Villalona

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved