Abstract
Continuous ambulatory peritoneal dialysis is widely used in the maintenance of patients with chronic renal failure. Obstruction or displacement of the chronic dialysis catheter, which prevents dialysate drainage, can compromise ongoing dialysis. Conservative approaches (body position change, saline infusion, and enema) are often unsuccessful and more aggressive therapy may be required. We report the use of peritoneoscopy to reposition malfunctioning peritoneal dialysis catheters. The procedure proved to be safe and gave excellent long-term results.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Popovich RP, Moncrief JW, Deherd JB, Boman JB, Pyle WK: The definition of a novel portable/wearable equilibrium peritoneal dialysis technique. Abstr Am Soc Artif Intern Organs 5:64, 1976
Popovich RP, Moncrief JW, Nolph KD, Ghods AJ, Gwardowski J, Pyle WK: Chronic ambulatory peritoneal dialysis. Ann Intern Med 88:449–456, 1978
Ruben J, Adair CM, Raju S, Bower JD: The Tenckhoff catheter for peritoneal dialysis—an appraisal. Nephron 32:370–374, 1982
Davis R, Young J, Diamond D, Bourke E: Management of chronic peritoneal catheter malfunction. Am J Nephrol 2:85–90, 1982
Tenckhoff H: Chronic Peritoneal Dialysis: A Manual for Patients, Dialysis Personnel and Physicians. University of Washington School of Medicine, Seattle, 1974, pp 49–50
Tenckhoff H: Chronic Peritoneal Dialysis: A Manual for Patients, Dialysis Personnel and Physicians. University of Washington School of Medicine, Seattle, 1974, pp 23–32
Tenckhoff H, Schechter H: A bacteriologically safe peritoneal access device. Trans Am Soc Artif Intern Organs 14:181–187, 1968
Swartz RD: Chronic Peritoneal Dialysis: Mechanical and Infectious Complications. Nephron 1984 (in press)
Trujillo NP: Peritoneoscopy and guided biopsy in the diagnosis of intraabdominal disease. Gastroenterology 71:1083–1085, 1976
Ash SR, Wolf GC, Block R: Placement of the Tenckhoff peritoneal dialysis catheter under peritoneoscopic visualization. Dial Transplant 10:383–386, 1981
Craig R, Sparberg M, Ivanovich P, Rice L, Dordal E: Nephrogenic ascites. Arch Intern Med 134:276–279, 1974
Cunningham JT, Tucker CT: Peritoneoscopy in chronic peritoneal dialysis: Use in evaluation and management of complications. Gastrointest Endosc 29:47–50, 1983
Tucker CT, Cunningham JT, Nichols AM, Greer CI, Bailey GT: Cannulography with peritoneal air contrast study. Contemp Dial 3:9–16, 1982
Marti-Vicente A, Rodriguez JV, Alcala FM: Peritoneoscopy examination following abdominal operations. Gastrointest Endosc 25:144–145, 1979
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wilson, J.A.P., Swartz, R.D. Peritoneoscopy in the management of catheter malfunction during continuous ambulatory peritoneal dialysis. Digest Dis Sci 30, 465–467 (1985). https://doi.org/10.1007/BF01318180
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01318180