Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: A prospective randomized study on outcome

Gadallah, Merit F.; Pervez, Aslam; El-Shahawy, Mohamed; Sorrells, Donald L.; Zibari, Gazi B.; McDonald, John C.; Work, Jack

doi:10.1016/s0272-6386(99)70266-0

Cited by 220 publications

(230 citation statements)

References 11 publications

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“…The ANZDATA Registry recently reported a 78% risk of peritonitis in Australian indigenous PD patients independent of demographic and comorbidity factors-perhaps a result of suboptimal personal and community cleanliness coupled with overcrowding and nonfunctional basic housing infrastructure (1). Our 12-month catheter survival of 79.2% was similar to that reported in the literature (7,12). More than 90% of all PD catheters in our unit are inserted by a nephrologist.…”

Section: Discussionsupporting

confidence: 87%

“…The rates of early complication such as leaks (3.3%), exit-site infection (2.2%), and peritonitis (3.3%) encountered in the present study compare favorably with the results of the peritoneoscopic technique in the randomized controlled trial of Gadallah et al (12). However, primary catheter malfunction occurred in 13 of the catheters (14.1%) implanted in our cohort, which is almost double the 7.9% reported by Gadallah et al (12). Despite successful treatment of constipation and normal catheter placement (determined by computed tomography imaging of abdomen), we were unable to determine the cause of poor drainage.…”

Section: Discussionsupporting

confidence: 78%

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Outcomes of Nephrologist-Inserted Peritoneal Catheters in Indigenous Patients from Far North Queensland

et al. 2014

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 78%

Outcomes of Nephrologist-Inserted Peritoneal Catheters in Indigenous Patients from Far North Queensland

et al. 2014

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“…We report an overall catheter survival rate comparable with previous reports of laparoscopic or open placement [8,[11][12][13], with an average of 80% survival at 2 years. Gadallah et al [12] showed that a peritoneoscopically placed catheter (using Y-TEC) had fewer complications and higher survival rates compared with those placed by an open technique. A recent meta-analysis showed that peritoneoscopically placed catheters had a better 1-year survival and also less catheter migration than those placed via an open approach [10].…”

Section: Discussionsupporting

confidence: 84%

Outcomes of Dialysis Catheters Placed by Y-Tec Peritoneoscopic Technique: A Single Center Surgical Experience

2016

American Journal of Kidney Diseases

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Background: In the last few years, peritoneal dialysis (PD) catheter placement techniques and outcomes have become important because of the growing population of PD patients. Although there are a growing number of catheters placed by the minimally invasive Y-TEC peritoneoscopic technique, there are still limited data on outcomes for these catheters, especially those placed by a surgeon. We aimed to conduct a retrospective study of our experience with PD catheters placed by the Y-TEC peritoneoscopic technique in our institution.

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“…Although studies in adults, including RCTs, have shown an improved catheter survival rate and a lower incidence of infections and leaks subsequent to the introduction of laparoscopic placement (35,36), many studies in children have failed to show such a relationship (10,37,38). As for omentectomy, the procedure is performed in 60%-80% of PD catheter placements in children (39), and many studies have shown a significant reduction of catheter occlusion when routine omentectomy was performed (11,40).…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes

Borzych-Dużałka¹,

Aki²,

Azócar³

et al. 2016

CJASN

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Background and objectives Little published information is available about access failure in children undergoing chronic peritoneal dialysis. Our objectives were to evaluate frequency, risk factors, interventions, and outcome of peritoneal dialysis access revision. Results In total, 452 access revisions were recorded in 321 (13%) of 2453 patients over 3134 patient-years of followup, resulting in an overall access revision rate of 0.14 per treatment year. Among 824 incident patients, 186 (22.6%) underwent 188 access revisions over 1066 patient-years, yielding an access revision rate of 0.17 per treatment year; 83% of access revisions in incident patients were reported within the first year of peritoneal dialysis treatment. Catheter survival rates in incident patients were 84%, 80%, 77%, and 73% at 12, 24, 36, and 48 months, respectively. By multivariate logistic regression analysis, risk of access revision was associated with younger age (odds ratio, 0.93; 95% confidence interval, 0.92 to 0.95; P,0.001), diagnosis of congenital anomalies of the kidney and urinary tract (odds ratio, 1.28; 95% confidence interval, 1.03 to 1.59; P=0.02), coexisting ostomies (odds ratio, 1.42; 95% confidence interval, 1.07 to 1.87; P=0.01), presence of swan neck tunnel with curled intraperitoneal portion (odds ratio, 1.30; 95% confidence interval, 1.04 to 1.63; P=0.02), and high gross national income (odds ratio, 1.10; 95% confidence interval, 1.02 to 1.19; P=0.01). Main reasons for access revisions included mechanical malfunction (60%), peritonitis (16%), exit site infection (12%), and leakage (6%). Need for access revision increased the risk of peritoneal dialysis technique failure or death (hazard ratio, 1.35; 95% confidence interval, 1.10 to 1.65; P=0.003). Access dysfunction due to mechanical causes doubled the risk of technique failure compared with infectious causes (hazard ratio, 1.95; 95% confidence interval, 1.20 to 2.30; P=0.03).Conclusions Peritoneal dialysis catheter revisions are common in pediatric patients on peritoneal dialysis and complicate provision of chronic peritoneal dialysis. Attention to potentially modifiable risk factors by pediatric nephrologists and pediatric surgeons should be encouraged.

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Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: A prospective randomized study on outcome

Cited by 220 publications

References 11 publications

Outcomes of Nephrologist-Inserted Peritoneal Catheters in Indigenous Patients from Far North Queensland

Outcomes of Nephrologist-Inserted Peritoneal Catheters in Indigenous Patients from Far North Queensland

Outcomes of Dialysis Catheters Placed by Y-Tec Peritoneoscopic Technique: A Single Center Surgical Experience

Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes

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