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

Standard

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, Vol. 51, No. 8, 08.2016, p. 1317-20.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

APA

Vancouver

Bibtex

@article{54cd5057092c4de2904a9a7ecbcc136d,
title = "Surgical complications after peritoneal dialysis catheter implantation depend on children's weight",
abstract = "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.",
keywords = "Journal Article",
author = "Josephine Radtke and Anja Lemke and Kemper, {Markus J} and Bjoern Nashan and Martina Koch",
note = "Copyright {\textcopyright} 2016 Elsevier Inc. All rights reserved.",
year = "2016",
month = aug,
doi = "10.1016/j.jpedsurg.2015.12.005",
language = "English",
volume = "51",
pages = "1317--20",
journal = "J PEDIATR SURG",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "8",

}

RIS

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 -