Overall catheter survival at 12 and 24 months was 95% and 83% in TIMG and 93% and 79% in SNCG respectively (p = 0.72).
Conclusion: By using the conventional Tenckhoff catheter with a downward exit created using the triple incision method, high catheter survival rates with infective and mechanical complication rates similar to those of the swan neck catheter can be achieved. The triple incision method has the additional advantages of lower cost and the catheter can be manipulated by guidewire technique if tip migration occurs.”
“Background: At present there are various more
or less invasive surgical and laparoscopic ways to place a catheter suitable for peritoneal dialysis (PD); however, once the catheter is in place, there is no possibility to inspect the peritoneal cavity without de novo laparotomy or laparoscopy.
Patients and Methods: To establish a minimally invasive technique and allowing for maximal options, we used a PD catheter with an extra selleck screening library large inside selleck inhibitor diameter of 3.5 mm. Because of the enlarged inner diameter of 3.5 mm (compared to 2.6 mm in standard Tenckhoff catheters), this device can be passed
by a very thin video-endoscope with an external diameter of 2.8 mm. Using a stepwise approach, we applied this device in placing PD catheters in 2 patients. The procedure could be done without complications. Both patients were doing well 4 and 6 months later, respectively, without any PD-related complications. Intraperitoneal view by the endoscope was limited; an attempt to obtain a peritoneal biopsy failed.
Conclusions: If the drawbacks of this method can be overcome it will have a wide spectrum of applications (i.e., inspection of the peritoneal cavity and obtaining peritoneal biopsies at any time during PD treatment). In this way it can be used scientifically and clinically when a problem of flow
or ultrafiltration occurs or when encapsulating sclerosing peritonitis is suspected.”
“Extrarenal manifestation and complications of inflammatory bowel disease may be detected in a significant number of patients. It is known that the genitourinary tract may be affected but data from childhood population are scarce. We present an unusual bilateral obstruction of ureters, inflammation of bladder wall and vesicoureteral reflux in a boy with ulcerative colitis. Obstructions led to recurrent acute kidney injury with need of surgical intervention to prevent kidney function deterioration. AZD1390 cost (C) 2011 European Crohn’s and Colitis Organisation. Published by Elsevier B.V. All rights reserved.”
“Background: Insulin resistance (IR) is common among patients on dialysis and is worse among patients on peritoneal dialysis (PD) than among patients on hemodialysis. In this study we tested the hypothesis that administration of telmisartan, an angiotensin II type 1 receptor antagonist, might improve insulin sensitivity in patients on PD.
Method: This was a crossover study of 30 nondiabetic patients with end-stage renal disease being treated with PD.