The surgical management of peritoneal dialysis catheters

Brook, Nicholas R.; White, Steven A.; Waller, J.R.; Nicholson, Michael L.

doi:10.1308/003588404323043337

Cited by 16 publications

(13 citation statements)

References 38 publications

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“…Prevention of constipation is an important concern to avoid postoperative colon distention that can affect catheter flow function by external tubing compression or catheter tip displacement from the pelvis (Brook et al 2004;Gokal et al 1998). Moreover, constipation has been associated with translocation of bacteria through the bowel wall with peritonitis (Singharetnam and Holley 1996;Suh et al 1996).…”

Section: Preoperative Preparationmentioning

confidence: 99%

“…Disturbances in hydraulic performance of the catheter can result from catheter tip migration to a position of poor drainage function by inherent resiliency forces of the rubber tubing or blockage of the side drainage holes by adherent intraperitoneal structures (Brook et al 2004;Crabtree 2006b;Gokal et al 1998). These conditions must be differentiated from catheter displacement or compression resulting from distended bowel or bladder.…”

Section: Flow Dysfunctionmentioning

confidence: 99%

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Overview of Peritoneal Dialysis

Mehrotra

Crabtree

Kathuria

2013

Studies in Computational Intelligence

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Section: Preoperative Preparationmentioning

confidence: 99%

Section: Flow Dysfunctionmentioning

confidence: 99%

Overview of Peritoneal Dialysis

Mehrotra

Crabtree

Kathuria

2013

Studies in Computational Intelligence

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“…Despite its advantages, most patients cannot maintain PD for a long-time, as it has some limitations and complications including bleeding, pain, cuff extrusion, catheter-related complications (7), which may cause complications, death, and even switching to HD, or renal transplantation (8).…”

Section: Introductionmentioning

confidence: 99%

Predictors of peritoneal dialysis associated peritonitis; application of the zero-inflated negative binomial model

et al. 2019

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Introduction: Peritonitis is the main cause of morbidity and dropout from peritoneal dialysis (PD) program. Objectives: We aimed to determine risk factors predisposing to PD-associated peritonitis. Patients and Methods: As a retrospective cohort research, on 235 PD individuals with 4277 patientmonths of follow up, 170 episodes of peritonitis was reported in 93 patients. Data were extracted from medical records using a template. Standard as well as zero-inflated negative binominal regression was used to model the association between patients’ characteristics and the peritonitis rate. Cox-proportional hazard (PH) adjusted model was used to determine the effect of factors on the peritonitis-free survival. Results: With a mean (SD) body mass index (BMI) of 18.7(3.4) kg/m2, 109 (46.4%) of them were male. With a median (95% CI) follow-up time of 19 (16 to 36) months, the rate of peritonitis was 0.48 episode per patient-year. The most common micro-organism detected was coagulase-negative staphylococci (n=54; 31.7%). The only variable which was associated with a higher rate of peritonitis was BMI (rate ratio [RR]: 1.07; 95% CI 1.01 to 1.14; P value=0.031). Comparing to patients with lower education, patients with higher than elementary school of education had higher peritonitisfree survival (with hazard ratio [HR]=0.51; 95%CI 0.33-0.79, P value=0.003) and higher chance of having no peritonitis [odds ratio (OR):1.97; 95% CI 1.08 to 3.59; P value=0.029]. Conclusion: Peritonitis is still a major concern in PD patients. BMI was a risk factor for higher peritonitis rate. Higher education level was associated with lower peritonitis-free survival and higher chance of having no peritonitis.

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“…Peritonitis remains the major complication in patients treated with peritoneal dialysis (PD), with 0·5–1·5 episodes per patient per year1, 2 and a mortality rate of 2·5–5 per cent3, 4. It is also the commonest cause of technique failure, with 25–40 per cent of affected patients requiring catheter removal2, 4. Although most patients respond to conservative management with intraperitoneal antibiotics, a significant minority require surgical intervention.…”

Section: Introductionmentioning

confidence: 99%