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Peritoneal dialysis access in children

  • Chapter
Pediatric Dialysis

Abstract

The history of peritoneal dialysis began in 1922 with Putnam’s publication of his work demonstrating that the peritoneum could be used as a dialysing membrane1. The first description of insertion of a chronic indwelling catheter for peritoneal dialysis was in 1968 by Tenckhoff2. Since that time, the surgical techniques used to place peritoneal dialysis catheters have undergone significant evolution3. Despite this evolution, placing and maintaining catheters for peritoneal dialysis remains a significant challenge, particularly in children. The challenge of pediatric peritoneal dialysis access is fitting a limited number of sizes of peritoneal dialysis catheters to children who come in a vast array of sizes. In addition, children have different abdominal proportions, less abdominal wall musculature and less subcutaneous fat than adults, factors which also make the procedure more complex. This surgical challenge is reflected in the high overall complication rates for children, which approaches 70% in some series4. Successful peritoneal dialysis access in children requires an understanding of these complications, which is the first step in improving outcomes.

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References

  1. Orkin BA, Fonkalsrud EW, Salusky IB et al. Continuous ambulatory peritoneal dialysis catheters in children. Arch Surg. 1983; 118:1398–402.

    Article  PubMed  CAS  Google Scholar 

  2. Tenckhoff H, Schechter H. A bacteriologically safe peritoneal access device. Trans Am Soc Artif Intern Organs. 1968;14:181–7.

    PubMed  CAS  Google Scholar 

  3. Oreopoulos DG. Peritoneal dialysis in the past 20 years: an exciting journey. Perit Dial Int. 1999;19(Suppl 3):S6–8.

    PubMed  Google Scholar 

  4. Kimmelstiel FM, Miller RE, Molinelli BM, Lorch JA. Laparoscopic management of peritoneal dialysis catheters. Surg Gynecol Obstet. 1993;176:565–70.

    PubMed  CAS  Google Scholar 

  5. Patel UD, Mottes TA, Flynn JT. Delayed compared with immediate use of peritoneal catheter in pediatric peritoneal dialysis. Adv Perit Dial. 2001;17:253–9.

    PubMed  CAS  Google Scholar 

  6. Hwang TL, Chen MF, Wu CH, Leu ML, Huang CC. Comparison for four techniques of catheter insertion in patients undergoing continuous ambulatory peritoneal dialysis. Eur J Surg. 1995;161:401–4.

    PubMed  CAS  Google Scholar 

  7. Tapper D, Watkins S, Burns M, Hickman RO, Avner E. Comprehensive management of renal failure in infants. Arch Surg. 1990;125:1276–81.

    Article  PubMed  CAS  Google Scholar 

  8. Amerling R, Maele DV, Spivak H et al Laparoscopic salvage of malfunctioning peritoneal catheters. Surg Endosc. 1997;11:249–52.

    Article  PubMed  CAS  Google Scholar 

  9. Fukui M, Maeda K, Sakamoto K, Hamada C, Tomino Y. Laparoscopic manipulation for outflow failure of peritoneal dialysis catheter. Nephron. 1999;83:369.

    Article  PubMed  Google Scholar 

  10. Stone MM, Fonkalsrud EW, Salusky IB, Takiff H, Hall T, Fine RN. Surgical management of peritoneal dialysis catheters in children: five-year experience with 1,800 patient-month followup. J Pediatr Surg. 1986;21:1177–81.

    Article  PubMed  CAS  Google Scholar 

  11. Tan SY, Thiruventhiran T. Catheter cuff shaving using a novel technique: a rescue treatment for persistent exit-site infections. Perit Dial Int. 2000;20:471–2.

    PubMed  CAS  Google Scholar 

  12. Lewis M, Webb N, Smith T, Roberts D. Routine omentectomy is not required in children undergoing chronic peritoneal dialysis. Adv Perit Dial. 1995;11:293–5.

    PubMed  CAS  Google Scholar 

  13. Nicholson ML, Burton PR, Donnelly PK, Veitch PS, Walls J. The role of omentectomy in continuous ambulatory peritoneal dialysis. Perit Dial Int. 1991;11:330–2.

    PubMed  CAS  Google Scholar 

  14. Pumford N, Cassey J, Uttley WS. Omentectomy with peritoneal catheter placement in acute renal failure. Nephron. 1994;68:327–8.

    Article  PubMed  CAS  Google Scholar 

  15. Chao SH, Tsai TJ. Laparoscopic rescue of dysfunctional Tenckhoff catheters in continuous ambulatory peritoneal dialysis patients. Nephron. 1993;65:157–8.

    Article  PubMed  CAS  Google Scholar 

  16. Lee M, Donovan JF. Laparoscopic omentectomy for salvage of peritoneal dialysis catheters. J Endourol. 2002;16:241–4.

    Article  PubMed  Google Scholar 

  17. von Lilien T, Salusky IB, Yap HK, Fonkalsrud EW, Fine RN. Hernias: a frequent complication in children treated with continuous peritoneal dialysis. Am J Kidney Dis. 1987;10:356–60.

    Google Scholar 

  18. Tank ES, Hatch DA. Hernias complicating chronic ambulatory peritoneal dialysis in children. J Pediatr Surg. 1986;21:41–2.

    Article  PubMed  CAS  Google Scholar 

  19. Gadallah MF, Mignone J, Torres C, Ramdeen G, Pervez A. The role of peritoneal dialysis catheter configuration in preventing catheter tip migration. Adv Perit Dial. 2000;16:47–50.

    PubMed  CAS  Google Scholar 

  20. Jones LL, Tweedy L, Warady BA. The impact of exit-site care and catheter design on the incidence of catheter-related infections. Adv Perit Dial. 1995;11:302–5.

    PubMed  CAS  Google Scholar 

  21. Kim D, Burke D, Izatt S et al. Single-or double-cuff peritoneal catheters? A prospective comparison. Trans Am Soc Artif Intern Organs. 1984;30:232–5.

    PubMed  CAS  Google Scholar 

  22. Lewis MA, Smith T, Postlethwaite RJ, Webb NJ. A comparison of double-cuffed with single-cuffed Tenckhoff catheters in the prevention of infection in pediatric patients. Adv Perit Dial. 1997;13:274–6.

    PubMed  CAS  Google Scholar 

  23. Furth SL, Donaldson LA, Sullivan EK, Watkins SL. Peritoneal dialysis catheter infections and peritonitis in children: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatr Nephrol. 2000;15:179–82.

    Article  PubMed  CAS  Google Scholar 

  24. Brownlee J, Elkhairi S. Laparoscopic assisted placement of peritoneal dialysis catheter: a preliminary experience. Clin Nephrol. 1997;47:122–4.

    PubMed  CAS  Google Scholar 

  25. Dalgic A, Ersoy E, Anderson ME, Lewis J, Engin A, D’Alessandro AM. A novel minimally invasive technique for insertion of peritoneal dialysis catheter. Surg Laparosc Endosc Percutan Tech. 2002; 12:252–4.

    Article  PubMed  Google Scholar 

  26. Daschner M, Gfrorer S, Zachariou Z, Mehls O, Schaefer F. Laparoscopic Tenckhoff catheter implantation in children. Perit Dial Int. 2002;22:22–6.

    PubMed  Google Scholar 

  27. Gadallah MF, Pervez A, el-Shahawy MA et al. Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis. 1999;33:118–22.

    Article  PubMed  CAS  Google Scholar 

  28. Chadha V, Jones LL, Ramirez ZD, Warady BA. Chest wall peritoneal dialysis catheter placement in infants with a colostomy. Adv Perit Dial. 2000;16:318–20.

    PubMed  CAS  Google Scholar 

  29. Mahon D, Rhodes M, Koo B, Burgess N. Laparoscopic placement of Tenchkoff catheters. Surg Endosc. 2001;15:902–3.

    Article  PubMed  CAS  Google Scholar 

  30. Tsimoyiannis EC, Siakas P, Glantzounis G et al. Laparoscopic placement of the Tenckhoff catheter for peritoneal dialysis. Surg Laparosc Endosc Percutan Tech. 2000;10:218–21.

    PubMed  CAS  Google Scholar 

  31. Lessin MS, Luks FI, Brem AS, Wesselhoeft CW, Jr. Primary laparoscopic placement of peritoneal dialysis catheters in children and young adults. Surg Endosc. 1999; 13:1165–7.

    Article  PubMed  CAS  Google Scholar 

  32. Barone GW, Lightfoot ML, Ketel BL. Technique for laparoscopy-assisted complicated peritoneal dialysis catheter placement. J Laparoendosc Adv Surg Tech A. 2002;12:53–5.

    Article  PubMed  Google Scholar 

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Authors
  1. M. L. Brandt
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  2. E. D. Brewer
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Editor information

Editors and Affiliations

  1. Children’s Mercy Hospital, University of Missouri, Kansas City School of Medicine, Kansas City, MO, USA

    Bradley A. Warady

  2. University Children’s Hospital, Heidelberg, Germany

    Franz S. Schaefer

  3. Health Science Center, State University of New York at Stony Brook, Stony Brook, NY, USA

    Richard N. Fine

  4. Lucille Packard Children’s Hospital at Stanford, Stanford University, School of Medicine, Stanford, CA, USA

    Steven R. Alexander

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© 2004 Springer Science+Business Media Dordrecht

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Brandt, M.L., Brewer, E.D. (2004). Peritoneal dialysis access in children. In: Warady, B.A., Schaefer, F.S., Fine, R.N., Alexander, S.R. (eds) Pediatric Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1031-3_6

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  • DOI: https://doi.org/10.1007/978-94-007-1031-3_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-3770-9

  • Online ISBN: 978-94-007-1031-3

  • eBook Packages: Springer Book Archive

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