Pleuro-peritoneal or pericardio-peritoneal leak in children on chronic peritoneal dialysis—A survey from the European Paediatric Dialysis Working Group View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-11

AUTHORS

Stephanie Dufek, Tuula Holtta, Michel Fischbach, Gema Ariceta, Augustina Jankauskiene, Rimante Cerkauskiene, Claus Peter Schmitt, Betti Schaefer, Christoph Aufricht, Elizabeth Wright, Constantinos J. Stefanidis, Mesiha Ekim, Sevcan Bakkaloglu, Günter Klaus, Aleksandra Zurowska, Karel Vondrak, Johan Vande Walle, Alberto Edefonti, Rukshana Shroff, on behalf of the European Paediatric Dialysis Working Group

ABSTRACT

BACKGROUND: Pleural or pericardial effusions secondary to pleuro-peritoneal fistula (PPF) and pericardio-peritoneal fistula (PcPF) are rare but serious complications of peritoneal dialysis (PD). METHODS: We conducted a 10-year survey across all participating centres in the European Paediatric Dialysis Working Group to review the incidence, diagnostic techniques, therapeutic options and outcome of children on chronic PD with PPF and/or PcPF. RESULTS: Of 1506 children on PD there were ten cases (8 of PPF, 1 each of PcPF and PPF + PcPF), with a prevalence of 0.66%. The median age at presentation was 1.5 [inter-quartile range (IQR) 0.4-2.4] years, and nine children were <3 years. The time on PD before onset of symptoms was 4.3 (IQR 1.3-19.8) months. Eight children had herniae and seven had abdominal surgery in the preceding 4 weeks. Symptoms at presentation were respiratory distress, reduced ultrafiltration and tachycardia. PD was stopped in all children; three were managed conservatively and thoracocentesis was performed in seven (with pleurodesis in 3). PD was restarted in only three children, in two of them with success. CONCLUSION: In conclusion, PPF and PcPF are rare in children on chronic PD, but are associated with significant morbidity, requiring a change of dialysis modality in all cases. Risk factors for PPF development include age of <3 years, herniae and recent abdominal surgery. More... »

PAGES

2021-2027

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-015-3137-z

DOI

http://dx.doi.org/10.1007/s00467-015-3137-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049154330

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26054713


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