Surgical complications after peritoneal dialysis catheter implantation depend on children's weight
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Surgical complications after peritoneal dialysis catheter implantation depend on children's weight. / Radtke, Josephine; Lemke, Anja; Kemper, Markus J; Nashan, Bjoern; Koch, Martina.
in: J PEDIATR SURG, Jahrgang 51, Nr. 8, 08.2016, S. 1317-20.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Surgical complications after peritoneal dialysis catheter implantation depend on children's weight
AU - Radtke, Josephine
AU - Lemke, Anja
AU - Kemper, Markus J
AU - Nashan, Bjoern
AU - Koch, Martina
N1 - Copyright © 2016 Elsevier Inc. All rights reserved.
PY - 2016/8
Y1 - 2016/8
N2 - BACKGROUND: Surgical complications are estimated to be as high as 30%-40% during the first 8 weeks after implantation of peritoneal dialysis (PD) catheters.METHODS: 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.RESULTS: 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).CONCLUSION: 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.
AB - BACKGROUND: Surgical complications are estimated to be as high as 30%-40% during the first 8 weeks after implantation of peritoneal dialysis (PD) catheters.METHODS: 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.RESULTS: 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).CONCLUSION: 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.
KW - Journal Article
U2 - 10.1016/j.jpedsurg.2015.12.005
DO - 10.1016/j.jpedsurg.2015.12.005
M3 - SCORING: Journal article
C2 - 26775194
VL - 51
SP - 1317
EP - 1320
JO - J PEDIATR SURG
JF - J PEDIATR SURG
SN - 0022-3468
IS - 8
ER -