BACKGROUND: : Delayed graft function (DGF) following transplantation necessitates support in the form of hemodialyis (HD) or peritoneal dialysis (PD). However, post-transplant PD-related complication and failure rates are unknown. METHODS: : We studies patients who were on PD at the time of kidney transplantation over a 4-year period at two separate institutions. RESULTS: : Of the 137 PD patients, 19 had their catheters removed at the time of transplant. Of the remaining 118 patients, 89% had immediate graft function. PD-related complications in this group included peritonitis (n=5), catheter-related infections (n=2) and emergency laparotomy (n=1). Of the 15 patients requiring post-transplant PD, 33% developed peritonitis and 20% had fluid-leaks necessitating HD. Overall, leaving a PD catheter in situ post- transplantation is associated with 7% rate of peritonitis versus 0% if removed (p < 0.05). CONCLUSIONS: : PD catheter removal should be considered at the time of renal transplantation, as postoperative PD-related failure/complication rates are high.
BACKGROUND: : Delayed graft function (DGF) following transplantation necessitates support in the form of hemodialyis (HD) or peritoneal dialysis (PD). However, post-transplant PD-related complication and failure rates are unknown. METHODS: : We studies patients who were on PD at the time of kidney transplantation over a 4-year period at two separate institutions. RESULTS: : Of the 137 PD patients, 19 had their catheters removed at the time of transplant. Of the remaining 118 patients, 89% had immediate graft function. PD-related complications in this group included peritonitis (n=5), catheter-related infections (n=2) and emergency laparotomy (n=1). Of the 15 patients requiring post-transplant PD, 33% developed peritonitis and 20% had fluid-leaks necessitating HD. Overall, leaving a PD catheter in situ post- transplantation is associated with 7% rate of peritonitis versus 0% if removed (p < 0.05). CONCLUSIONS: : PD catheter removal should be considered at the time of renal transplantation, as postoperative PD-related failure/complication rates are high.
Authors: K Arbeiter; A Pichler; G Muerwald; T Mueller; B Bidmon; E Balzar; D Ruffingshofer; L Greenbaum; C Aufricht Journal: Perit Dial Int Date: 2001 Sep-Oct Impact factor: 1.756
Authors: B Andreetta; E Verrina; P Sorino; A Edefonti; F Perfumo; S Bassi; L Ghio; D Cattarelli; R Coppo; S Rinaldi; G Capasso; G F Zanon; G Zacchello Journal: Perit Dial Int Date: 1996 Impact factor: 1.756
Authors: Ali I Gardezi; Brenda Muth; Adil Ghaffar; Fahad Aziz; Neetika Garg; Maha Mohamed; David Foley; Dixon Kaufman; Arjang Djamali; Didier Mandelbrot; Sandesh Parajuli Journal: Kidney Int Rep Date: 2021-04-17