Mechanical complications of continuous ambulatory peritoneal dialysis: Experience at the Ibn Sina University Hospital

Flayou, K.; Ouzeddoun, N.; Bayahia, R.; Rhou, H.; Benamar, L.

doi:10.4103/1319-2442.174089

Cited by 6 publications

(7 citation statements)

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“…It was similar to the rates reported in the literature (20.7%-42.6%) [14,19,21]. The prevalence of mechanical complications in our series was lower compared with the different series published in the literature (21.5% vs. 31.2%-36.8%) [4,8].…”

Section: Discussionsupporting

confidence: 90%

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Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single centre in Turkey

Tekkarismaz¹,

Torun²

2020

Turk J Med Sci

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The prevalence of end-stage renal disease (ESRD) is increasing in the world [1,2]. Peritoneal dialysis (PD) has been an alternative treatment to hemodialysis (HD) for patients with ESRD since 1976 [3,4]. PD is a homebased treatment with many advantages; preservation of residual renal function (RRF), hemodynamic stability, better quality of life and cost savings [5][6][7][8]. Survival rates with PD are better than those with HD after 3 years from initiation [5,8,9]. Despite the advantages of PD in quality of life compared with haemodialysis, the prevalence of PD decreases gradually [10,11]. In our country too, total number of PD patients is gradually decreasing over the years [12].Prevalent PD patients in our country as of the end of 2007 were 5307 patients and this number decreased to 3346 at the end of 2017, according to the Turkish Kidney Registry System Reports [12,13]. The long-term benefits of PD are still controversial [5]. Therefore, this study aimed to report a single-center experience and long-term clinical outcomes of PD over a 9-year period. Materials and methods ParticipantsThis study was approved by Baskent University Institutional Review Board (Project no: KA19/196) and supported by Başkent University Research Fund. This was a retrospective cohort study. All patients who were initiated on PD at Başkent University Adana Dr. Turgut Noyan Training and Research Hospital, in Turkey, from January 2011 to May 2019, were included. The patients who were younger than 18 years and the patients with a PD history of less than 3 months were excluded from our analysis. The follow-up of the patients was reviewed until death, renal transplantation, transferred to HD or the end of the study in May 2019. Clinical proceduresA double-cuffed Curl Tenckhoff catheter (ArgyleTM Peritoneal Dialysis Catheter Kit, Curl Catch, 2 Cuff, 62 cm) was inserted in all patients in our centre using the laparoscopy technique by general surgeons. After a break period, patients and their caregivers underwent a standard Background/aim: The aim of this study was to evaluate the clinical outcomes and identify the predictors of mortality in peritoneal dialysis patients. Materials and methods:Medical records of all incident peritoneal dialysis (PD) patients followed up between January 2011 and May 2019 were reviewed retrospectively. All patients were followed up until death, renal transplantation, transfer to haemodialysis or the end of the study.Results: A total of 242 patients were included in the study. The incidence of peritonitis was 0.18 (ranging from 0 to 14.9) episodes per patient year. Death occurred in 28% (n: 68) of cases. Age, diabetes mellitus, malignancy and refractory heart failure were independent risk factors for all-cause mortality according to multivariate analysis. The presence of comorbid disease and diabetes mellitus and patients aged > 65 years were associated with increased risk of mortality and decreased patient survival. Peritonitis history was associated with increased risk of mortality. Between peritonitis and perito...

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Section: Discussionsupporting

confidence: 90%

“…The mean dialysis duration in our patients was longer than other studies (51.6 vs. 27.7-33 months) [8,18]. Compared with other studies, our patients had similar rates of diabetes (24.2%-48.4% vs 30.2%) [4,18,19]. PD offers an alternative treatment option in refractory heart failure and reduces the incidence of decompensation attacks [20].…”

Section: Discussionmentioning

confidence: 45%

Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single centre in Turkey

Tekkarismaz¹,

Torun²

2020

Turk J Med Sci

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“…Miftah et al [5] found a slightly lower prevalence at 6.5% after a long average delay (25.6 months). Flayou et al [7] and Raina et al in India [11] found a much lower prevalence of 3.4% and 2.47%, respectively. This difference in prevalence could be explained by the fact that some of the teams put the catheter in pockets that the patient carried regularly, which made it possible to protect the catheter.…”

Section: Discussionmentioning

confidence: 96%

“…The prevalence of hernia in our study was 5.3%, with a predominance of umbilical localization in 75% of cases. Miftah et al [5], Flayou et al [7], Villemain et Open Journal of Nephrology al. in France [9] and Huraib et al [8] found a higher prevalence at 21.7%, 12.2%, 11.8% and 10%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Non-Infectious Complications of Peritoneal Dialysis in Senegal

Lemrabott¹,

Faye²,

Faye³

et al. 2020

OJNeph

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Introduction: Senegal has pioneered the implementation of peritoneal dialysis (PD) in West Africa, practicing it since 2004. Non-infectious complications are a significant cause of failure of this technique and the transfer of patients to haemodialysis. The aim of this study was to determine the prevalence and the different types of non-infectious complications in our context. Patients and Methods: This was a 5-year, descriptive, retrospective study of patients on chronic peritoneal dialysis for more than 3 months. Results: During the study period, 75 patients were included. The prevalence of non-infectious complications was 88%, including 45.3% mechanical complications and 76% metabolic complications. Catheter migration was the most common mechanical complication (55.9%), followed by catheter blockage (23.5%). Metabolic complications were dominated by hypoalbuminemia (76.3%). Dyslipidaemia and hypokalaemia affected more than 50% of patients, occurring in 59.3% and 56.9% of cases, respectively. Conclusion: In our study, non-infectious complications related to PD were frequent and varied. They remain a significant cause of technical failure. Mechanical complications are often the cause of permanent transfer to haemodialysis.

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“…Compression was the adequate therapy for these patients. Persistent bleeding was not mentioned as a complication, neither was the existence of superficially located veins [6].…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement

Natroshvili

Elling

Dam

et al. 2020

Case Reports in Surgery

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The laparoscopic placement of a continuous ambulatory peritoneal dialysis (CAPD) catheter is a widely used method in patients with end stage renal disease (ESRD). The potential complications of this procedure include perforation of intra-abdominal organs, surgical site infection, peritonitis, catheter migration, catheter blockage, port site herniation, and bleeding. In most cases, bleeding is considered to be an early-onset complication because it mostly occurs within the first seven days after surgery. We report a case of a 68-year-old female patient with a previous history of diabetes mellitus, myelodysplastic syndrome, extensive collateral varices, anaemia, and ESRD due to obstructive uropathy caused by retroperitoneal fibrosis, who presented with persistent blood loss after the laparoscopic placement of a CAPD catheter. Duplex ultrasonography showed that the CAPD catheter was transfixing a superficial epigastric varicose vein, a collateral vein, due to the occlusion of the left external iliac vein. Persistent blood loss after inserting a CAPD catheter without previous imaging of abdominal wall vessels is an indication for further diagnostics.

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Mechanical complications of continuous ambulatory peritoneal dialysis: Experience at the Ibn Sina University Hospital

Cited by 6 publications

References 0 publications

Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single centre in Turkey

Long-term clinical outcomes of peritoneal dialysis patients: 9-year experience of a single centre in Turkey

Non-Infectious Complications of Peritoneal Dialysis in Senegal

A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement

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