Çocuklarda Periton Dializi Uygulaması ve Komplikasyonları

Abstract

Günümüzde Böbrek yetmezliği tedavisindeki periton diyalizi kullanımı çocuklarda artmaktadır. Ancak periton diyaliz uygulaması yüksek komplikasyon oranları ile seyretmektedir. En sık peritonit, kateter tıkanması ve kateter migrasyonu nedeni ile kateter revizyonu gerekmektedir. Bu derlemenin amacı, komplikasyon oranlarını azaltmak için peritoneal kateter yerleştirme prosedürünün ipuçlarını ve uygun kateter tiplerini tanımlamaktır. 

Keywords

• Çocuk,periton diyalizi,kateter; cerrahi,komplikasyon

The Peritoneal Dialysis Procedure and Complication in Children

Abstract

Nowadays, the use of peritoneal dialysis in the treatment of renal failure is increasing in children.  However, the use of peritoneal dialysis is associated with high complication rates. Most frequently, revision of catheter is required because of peritonit, occlusion of catheter and migration of catheter. The aim of this study was to describe clues of peritoneal catheter insertion procedure and appropriate types of catheter for decreasing rates of complication.

Keywords

• Child,peritoneal dialisis,cathater; surgery,complication

References

1. 1. Radtke J, Schild R, Reismann M, Ridwelski RR, Kempf C, Nashan B, Rothe K, Koch M. Obstruction of peritoneal dialysis catheter is associated with catheter type and independent of omentectomy: A comparative data analysis from a transplant surgical and a pediatric surgical department. J Pediatr Surg. 2017 Jul 4. pii: S0022-3468(17)30411-6.
2. 2. Fraser N, Hussain FK, Connell R, Shenoy MU. Chronic peritoneal dialysis in children. Int J Nephrol Renovasc Dis. 2015 Oct 7;8:125-37.
3. 3. Borzych-Duzalka D, Aki TF, Azocar M, White C, Harvey E, Mir S, Adragna M, Serdaroglu E, Sinha R, Samaille C, Vanegas JJ, Kari J, Barbosa L, Bagga A, Galanti M, Yavascan O, Leozappa G, Szczepanska M, Vondrak K, Tse KC, Schaefer F, Warady BA; International Pediatric Peritoneal Dialysis Network (IPPN) Registry. Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes. Clin J Am Soc Nephrol. 2017 Jan 6;12(1):105-112.
4. 4. Hansson JH, Watnick S. Update on Peritoneal Dialysis: Core Curriculum 2016. Am J Kidney Dis. 2016 Jan;67(1):151-64.
5. 5. Stylianou KG, Daphnis EK. Selecting the optimal peritoneal dialysis catheter. Kidney Int. 2014 Apr;85(4):741-3.
6. 6. Dombros N, Dratwa M, Feriani M, Gokal R, Heimbürger O, Krediet R, Plum J, Rodrigues A, Selgas R, Struijk D, Verger C; EBPG Expert Group on Peritoneal Dialysis. European best practice guidelines for peritoneal dialysis. 3 Peritoneal access. Nephrol Dial Transplant. 2005 Dec;20 Suppl 9:ix8-ix12.
7. 7. Carpenter JL, Fallon SC, Swartz SJ, Minifee PK, Cass DL, Nuchtern JG, Pimpalwar AP, Brandt ML. Outcomes after peritoneal dialysis catheter placement. J Pediatr Surg. 2016 May;51(5):730-3.
8. 8. Cribbs RK, Greenbaum LA, Heiss KF. Risk factors for early peritoneal dialysis catheter failure in children. J Pediatr Surg. 2010 Mar;45(3):585-9.

9. 9. Warady BA, Bakkaloglu S, Newland J, Cantwell M, Verrina E, Neu A, Chadha V, Yap HK, Schaefer F. Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. Perit Dial Int. 2012;32 Suppl 2:S32–S86.
10. 10. 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.
11. 11. Zaritsky J, Warady BA. Peritoneal dialysis in infants and young children. Semin Nephrol. 2011 Mar;31(2):213-24.
12. 12. Kara A, Gurgoze MK, Aydin M, Taskin E, Bakal U, Orman A. Acute peritoneal dialysis in neonatal intensive care unit: An 8-year experience of a referral hospital. Pediatr Neonatol. 2017 Nov 16. pii: S1875-9572(16)30386-2.
13. 13. Lewis MA, Smith T, Postlethwaite RJ, et al. 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.
14. 14. Stewart CL, Acker SN, Pyle LL, Kulungowski A, Cadnapaphornchai M, Bruny JL, Karrer F. Factors associated with peritoneal dialysis catheter complications in children. J Pediatr Surg. 2016 Jan;51(1):159-62.
15. 15. Conlin MJ, Tank ES. Minimizing surgical problems of peritoneal dialysis in children. J Urol. 1995;154:917-9.
16. 16. Dufek S, Holtta T, Fischbach M, Ariceta G, Jankauskiene A, Cerkauskiene R, Schmitt CP, Schaefer B, Aufricht C, Wright E, Stefanidis CJ, Ekim M, Bakkaloglu S, Klaus G, Zurowska A, Vondrak K, Vande Walle J, Edefonti A, Shroff R; European Paediatric Dialysis Working Group. Pleuro-peritoneal or pericardio-peritoneal leak in children on chronic peritoneal dialysis-A survey from the European Paediatric Dialysis Working Group. Pediatr Nephrol. 2015 Nov;30(11):2021-7.
17. 17. Stone ML, LaPar DJ, Barcia JP, Norwood VF, Mulloy DP, McGahren ED, Rodgers BM, Kane BJ. Surgical outcomes analysis of pediatric peritoneal dialysis catheter function in a rural region. J Pediatr Surg. 2013 Jul;48(7):1520-7.
18. 18. Dizdar OS, Ozer O, Erdem S, Gunal AI. Subcutaneous gentamicin injection around the cuff in treatment of resistant exit site infection in peritoneal dialysis patients: a pilot study. Ther Clin Risk Manag. 2017 Jul 20;13:909-914.