Modified simple peritoneal wall anchor technique (PWAT) in peritoneal dialysis

Hideaki Oka, Shunsuke Yamada, Taro Kamimura, Masatoshi Hara, Yutaro Hirashima, Shumei Matsueda, Tomoya Shukuri, Seishi Aihara, Mai Koresawa, Masahiro Eriguchi, Atsumi Harada, Kazuhiko Tsuruya, Takanari Kitazono

研究成果: ジャーナルへの寄稿記事

抄録

♦ Background: Outflow obstruction, a common complication in patients with peritoneal dialysis (PD), usually results in unnecessary catheter removal or replacement. This study describes a modified simple method of anchoring a PD catheter on the anterior peritoneal wall without using a laparoscopic system (peritoneal wall anchor technique, PWAT). ♦ Methods: We performed a retrospective cohort study of consecutive PD catheter insertions, and compared the catheter survival rate between the traditional method and the modified simple PWAT. The traditional method was used in 54 cases and the modified simple PWAT was used in 17 cases. The primary endpoint was the occurrence of surgical catheter repair because of outflow obstruction by day 365. The secondary endpoint was the occurrence of catheter migration with obstruction requiring any interventions, including the alpha-replacement method by day 365. Catheter survival was analyzed by Kaplan-Meier survival curves. ♦ Results: Migration-free catheter survival was significantly (p = 0.02) higher in the PWAT group (100%, 17/17) than in the traditional group (72.2%, 39/54). Catheter survival without surgical repair or cessation of PD was also significantly (p = 0.04) higher in the PWAT group (100%, 17/17) than in the traditional group (77.8%, 42/54). Similarly, migration-free and surgery-free catheter survival rates in cases with a straight-type catheter in the PWAT group were significantly higher than those in cases with a straight-type catheter in the traditional group. ♦ Conclusions: Our results suggest that the modified simple PWAT provides a better catheter survival rate than the traditional method by preventing catheter migration with obstruction in PD.

元の言語英語
ページ(範囲)103-108
ページ数6
ジャーナルPeritoneal Dialysis International
37
発行部数1
DOI
出版物ステータス出版済み - 1 1 2017

Fingerprint

Peritoneal Dialysis
Catheters
Survival Rate
Kaplan-Meier Estimate
Cohort Studies
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Nephrology

これを引用

Modified simple peritoneal wall anchor technique (PWAT) in peritoneal dialysis. / Oka, Hideaki; Yamada, Shunsuke; Kamimura, Taro; Hara, Masatoshi; Hirashima, Yutaro; Matsueda, Shumei; Shukuri, Tomoya; Aihara, Seishi; Koresawa, Mai; Eriguchi, Masahiro; Harada, Atsumi; Tsuruya, Kazuhiko; Kitazono, Takanari.

:: Peritoneal Dialysis International, 巻 37, 番号 1, 01.01.2017, p. 103-108.

研究成果: ジャーナルへの寄稿記事

Oka, H, Yamada, S, Kamimura, T, Hara, M, Hirashima, Y, Matsueda, S, Shukuri, T, Aihara, S, Koresawa, M, Eriguchi, M, Harada, A, Tsuruya, K & Kitazono, T 2017, 'Modified simple peritoneal wall anchor technique (PWAT) in peritoneal dialysis', Peritoneal Dialysis International, 巻. 37, 番号 1, pp. 103-108. https://doi.org/10.3747/pdi.2016.00041
Oka, Hideaki ; Yamada, Shunsuke ; Kamimura, Taro ; Hara, Masatoshi ; Hirashima, Yutaro ; Matsueda, Shumei ; Shukuri, Tomoya ; Aihara, Seishi ; Koresawa, Mai ; Eriguchi, Masahiro ; Harada, Atsumi ; Tsuruya, Kazuhiko ; Kitazono, Takanari. / Modified simple peritoneal wall anchor technique (PWAT) in peritoneal dialysis. :: Peritoneal Dialysis International. 2017 ; 巻 37, 番号 1. pp. 103-108.
@article{2246e7cdd5384139907f53c27c94bf2d,
title = "Modified simple peritoneal wall anchor technique (PWAT) in peritoneal dialysis",
abstract = "♦ Background: Outflow obstruction, a common complication in patients with peritoneal dialysis (PD), usually results in unnecessary catheter removal or replacement. This study describes a modified simple method of anchoring a PD catheter on the anterior peritoneal wall without using a laparoscopic system (peritoneal wall anchor technique, PWAT). ♦ Methods: We performed a retrospective cohort study of consecutive PD catheter insertions, and compared the catheter survival rate between the traditional method and the modified simple PWAT. The traditional method was used in 54 cases and the modified simple PWAT was used in 17 cases. The primary endpoint was the occurrence of surgical catheter repair because of outflow obstruction by day 365. The secondary endpoint was the occurrence of catheter migration with obstruction requiring any interventions, including the alpha-replacement method by day 365. Catheter survival was analyzed by Kaplan-Meier survival curves. ♦ Results: Migration-free catheter survival was significantly (p = 0.02) higher in the PWAT group (100{\%}, 17/17) than in the traditional group (72.2{\%}, 39/54). Catheter survival without surgical repair or cessation of PD was also significantly (p = 0.04) higher in the PWAT group (100{\%}, 17/17) than in the traditional group (77.8{\%}, 42/54). Similarly, migration-free and surgery-free catheter survival rates in cases with a straight-type catheter in the PWAT group were significantly higher than those in cases with a straight-type catheter in the traditional group. ♦ Conclusions: Our results suggest that the modified simple PWAT provides a better catheter survival rate than the traditional method by preventing catheter migration with obstruction in PD.",
author = "Hideaki Oka and Shunsuke Yamada and Taro Kamimura and Masatoshi Hara and Yutaro Hirashima and Shumei Matsueda and Tomoya Shukuri and Seishi Aihara and Mai Koresawa and Masahiro Eriguchi and Atsumi Harada and Kazuhiko Tsuruya and Takanari Kitazono",
year = "2017",
month = "1",
day = "1",
doi = "10.3747/pdi.2016.00041",
language = "English",
volume = "37",
pages = "103--108",
journal = "Peritoneal Dialysis International",
issn = "0896-8608",
publisher = "Multimed Inc.",
number = "1",

}

TY - JOUR

T1 - Modified simple peritoneal wall anchor technique (PWAT) in peritoneal dialysis

AU - Oka, Hideaki

AU - Yamada, Shunsuke

AU - Kamimura, Taro

AU - Hara, Masatoshi

AU - Hirashima, Yutaro

AU - Matsueda, Shumei

AU - Shukuri, Tomoya

AU - Aihara, Seishi

AU - Koresawa, Mai

AU - Eriguchi, Masahiro

AU - Harada, Atsumi

AU - Tsuruya, Kazuhiko

AU - Kitazono, Takanari

PY - 2017/1/1

Y1 - 2017/1/1

N2 - ♦ Background: Outflow obstruction, a common complication in patients with peritoneal dialysis (PD), usually results in unnecessary catheter removal or replacement. This study describes a modified simple method of anchoring a PD catheter on the anterior peritoneal wall without using a laparoscopic system (peritoneal wall anchor technique, PWAT). ♦ Methods: We performed a retrospective cohort study of consecutive PD catheter insertions, and compared the catheter survival rate between the traditional method and the modified simple PWAT. The traditional method was used in 54 cases and the modified simple PWAT was used in 17 cases. The primary endpoint was the occurrence of surgical catheter repair because of outflow obstruction by day 365. The secondary endpoint was the occurrence of catheter migration with obstruction requiring any interventions, including the alpha-replacement method by day 365. Catheter survival was analyzed by Kaplan-Meier survival curves. ♦ Results: Migration-free catheter survival was significantly (p = 0.02) higher in the PWAT group (100%, 17/17) than in the traditional group (72.2%, 39/54). Catheter survival without surgical repair or cessation of PD was also significantly (p = 0.04) higher in the PWAT group (100%, 17/17) than in the traditional group (77.8%, 42/54). Similarly, migration-free and surgery-free catheter survival rates in cases with a straight-type catheter in the PWAT group were significantly higher than those in cases with a straight-type catheter in the traditional group. ♦ Conclusions: Our results suggest that the modified simple PWAT provides a better catheter survival rate than the traditional method by preventing catheter migration with obstruction in PD.

AB - ♦ Background: Outflow obstruction, a common complication in patients with peritoneal dialysis (PD), usually results in unnecessary catheter removal or replacement. This study describes a modified simple method of anchoring a PD catheter on the anterior peritoneal wall without using a laparoscopic system (peritoneal wall anchor technique, PWAT). ♦ Methods: We performed a retrospective cohort study of consecutive PD catheter insertions, and compared the catheter survival rate between the traditional method and the modified simple PWAT. The traditional method was used in 54 cases and the modified simple PWAT was used in 17 cases. The primary endpoint was the occurrence of surgical catheter repair because of outflow obstruction by day 365. The secondary endpoint was the occurrence of catheter migration with obstruction requiring any interventions, including the alpha-replacement method by day 365. Catheter survival was analyzed by Kaplan-Meier survival curves. ♦ Results: Migration-free catheter survival was significantly (p = 0.02) higher in the PWAT group (100%, 17/17) than in the traditional group (72.2%, 39/54). Catheter survival without surgical repair or cessation of PD was also significantly (p = 0.04) higher in the PWAT group (100%, 17/17) than in the traditional group (77.8%, 42/54). Similarly, migration-free and surgery-free catheter survival rates in cases with a straight-type catheter in the PWAT group were significantly higher than those in cases with a straight-type catheter in the traditional group. ♦ Conclusions: Our results suggest that the modified simple PWAT provides a better catheter survival rate than the traditional method by preventing catheter migration with obstruction in PD.

UR - http://www.scopus.com/inward/record.url?scp=85030645060&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030645060&partnerID=8YFLogxK

U2 - 10.3747/pdi.2016.00041

DO - 10.3747/pdi.2016.00041

M3 - Article

C2 - 27738088

AN - SCOPUS:85030645060

VL - 37

SP - 103

EP - 108

JO - Peritoneal Dialysis International

JF - Peritoneal Dialysis International

SN - 0896-8608

IS - 1

ER -