RESUMO
INTRODUCTION AND OBJECTIVES: Peritoneal catheter displacement is one of the most common complications of peritoneal dialysis. The alpha manoeuvre has been proposed as a repositioning technique, which involves returning the catheter to its correct position using rigid guidewires under fluoroscopic guidance. The aim of this study is to analyse the 107 procedures performed at our Centre to identify factors that may predict the success of the technique. MATERIAL AND METHODS: The alpha manoeuvre method was used in 86 patients, with a total of 107 procedures (70 patients underwent one manoeuvre only, 16 patients underwent two or more manoeuvres). RESULTS: The overall success rate of the technique was 60%. There were no differences in success rate in terms of gender (60% male vs. 40% female, p = 0.104), time of catheter failure (early 60% vs. late 62%, p = 0.849), type of catheter (75% self-locating vs. 58% spiral, p = 0.633) or the initial position of the catheter. There was only one case of peritonitis related to the procedure. CONCLUSIONS: The alpha manoeuvre is an effective and safe method for correcting peritoneal catheter displacement.
Assuntos
Cateteres de Demora/efeitos adversos , Diálise Peritoneal/instrumentação , Diálise Peritoneal/métodos , Idoso , Falha de Equipamento , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosAssuntos
Aspergilose/diagnóstico , Aspergillus fumigatus/isolamento & purificação , Hospedeiro Imunocomprometido , Transplante de Rim , Neosartorya/isolamento & purificação , Complicações Pós-Operatórias/diagnóstico , Idoso de 80 Anos ou mais , Aspergilose/etiologia , Aspergilose/imunologia , Cavidades Cranianas/microbiologia , Diagnóstico Diferencial , Humanos , Masculino , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/etiologia , Doenças Orbitárias/imunologia , Seios Paranasais/microbiologia , Complicações Pós-Operatórias/imunologiaAssuntos
Hemoperitônio/etiologia , Diálise Peritoneal/efeitos adversos , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Feminino , Hemoperitônio/diagnóstico , Hemoperitônio/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Índice de Gravidade de Doença , Resultado do TratamentoAssuntos
Diálise Peritoneal/efeitos adversos , Fibrose Peritoneal/etiologia , Adulto , Síndrome de Bardet-Biedl/terapia , Evolução Fatal , Feminino , Glomerulonefrite/terapia , Glomerulosclerose Segmentar e Focal/terapia , Humanos , Transplante de Rim , Masculino , Fibrose Peritoneal/diagnóstico por imagem , Fibrose Peritoneal/tratamento farmacológico , Peritonite/etiologia , Complicações Pós-Operatórias/etiologia , Recidiva , Estudos Retrospectivos , Tamoxifeno/uso terapêutico , Tomografia Computadorizada por Raios X , Adulto JovemRESUMO
A case of Berardinelli-Seip syndrome, a congenital generalised lipodystrophy, is reported. Symptoms first appeared when the patient was 20 years old. She showed severe insulin resistance as well as micro- and macro-angiopathic complications, including chronic kidney disease, which required renal replacement therapy with peritoneal dialysis. The patient's clinical course was reviewed since paediatric age (when initial signs of the disease being already evident) to present time. Berardinelli-Seip syndrome is very uncommon, and the present case is particularly rare because it is the only case (at least as reported in the literature) in a patient receiving dialysis.
