Abstract
A 10-year retrospective study was performed with respect to the incidence of infectious and surgical complications in a young paediatric continuous ambulatory peritoneal dialysis population of 43 children (mean age 4.5 years [range 2.5 months-15.8 years]). The incidence of infectious complications such as peritonitis and catheter-related infections correlated well with the results of other studies. A relatively high incidence of hernias (53%) was seen in our population, probably caused by the lower mean age of the children. Obstructions were caused by omental wrapping, peritonitis, or operative procedures and did not correlate with the period of cathter function. Early leakage occurred within 5 days after catheter implantation. Later leakages were preceeded by another complication, such as infection or obstruction. In early leakage, in contrast to later leakage, the catheter could be maintained.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Abbreviations
- CAPD:
-
continuous ambulatory peritoneal dialysis
References
Balfe JW, Vigneux A, Willumsen J, Hardy BE (1980) The use of CAPD in the treatment of children with end-stage renal disease. Perit Dial Bull 1:35–37
Cantaluppi C, Castelnovo A, Scalamogna A (1985) Exit site infections in patients on continuous ambulatory peritoneal dialysis. In: Khanna R, et al (eds) Advances in CAPD: proceedings 5th annual CAPD conference, Kansas City, Canada, pp 45–48
Fonkalsrud EW (1990) Ask the expert: advise concerning the indications for omentectomy in babies and children receiving continuous ambulatory peritoneal dialysis. Pediatr Nephrol 4: 574
Gries E, Paar D, Graben N, Bock KD (1988) How much heparin intra peritoneally is necessary in CAPD. Nephron 49: 256
Kopecky RT, Frymoyer PA, Witanowski LS, Deaver Thomas F, Wojtaszek J, Reinitz ER (1990) Prospective peritoneal scintigraphy in patients beginning continuous ambulatory peritoneal dialysis. Am J Kidney Dis 3:228–236
Lilien T von, Isidro BS, Hui Kim Yap, Forkalsrud EW, Fine RN (1987) Hernias: a frequent complication in children treated with continuous peritoneal dialysis. Am J Kidney Dis 10:356–360
Lupo A, Tarchini R, Segoloni GP, Gentile MG, Cancarini G, Fellin G, Salomone M, Fusaroli M, Maiorca R, Piccoli G (1988) Abdominal hernias in CAPD patients: incidence, risk factors and outcome. Adv Perit Dial 4:107–109
Mocan H, Murphy AV, Beattie TJ, McAllister TA (1988) Peritonitis in children on continuous ambulatory peritoneal dialysis. J Infect 16:243–251
O'Regan S, Garel L, Patriquin H, Yazbeck S (1988) Outflow obstruction: whiplash technique for catheter mobilization. Perit Dial Int 8:265–268
Oreopoulos DG, Baird-Helfrich G, Khanna R, Lum GM, Matthews R, Paulsen K, Twardowski ZJ, Vas SI (1987) Peritoneal catheters and exit-site practices: Current recommendations. Perit Dial Bull 7:130–138
Pérez-Fontán M, Selgs R, Miquel JL, Pardo M, González JA, Conesa J, Sanz A, Sánchez-Sicilia (1986) Rupture of hernial sac as cause of massive subcutaneous dialysate leak in CAPD: diagnostic value of peritoneography. Dial and Transplant 15: 74–77
Pierratos A (1984) Peritoneal dialysis glossary. Perit Dial Bull 4:2–3
Rocco MV, Stone WJ (1985) Abdominal hernias in chronic peritoneal dialysis patients: a review. Perit Dial Bull 5:171–174
Rowe MI, Lloyd DA (1986) Inguinal hernia. In: Ravitch MM, Welch KJ (eds) Pediatric surgery. Year Book Medical Publishers, Chicago, pp 779–793
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
van Asseldonk, J.P.M., Schröder, C.H., Severijnen, R.S.V.M. et al. Infectious and surgical complications of childhood continuous ambulatory peritoneal dialysis. Eur J Pediatr 151, 377–380 (1992). https://doi.org/10.1007/BF02113262
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02113262