Complications of Continuous Ambulatory Peritoneal Dialysis (CADP) catheter placement in pediatric patients

Abstract: CAPD is a peritoneal dialysis (PD) technique introduced in 1978 as a renal replacement therapy more often in children, whenever high-level centers are available. It represents a typical treatment for end-stage kidney disease and can be inserted as a bedside procedure (Cook Medical, Bloomington) or operatively under general anesthesia (Tenckhoff catheter). Complications associated with catheter placement are well-known and have been extensively studied. Multiple factors influence catheter survival and functions, including the shape of the subcutaneous segment, the number of cuffs, and the design of the intraperitoneal part. Comprehensive research was conducted to study the outcomes of the straight and coiled-tip catheters. A pooled dataset produced by a systematic review and meta-analysis of 13 randomized controlled trials examined catheter survival, blockage, migration, leakage, exit site infection, hernia, intestinal obstruction, peritonitis, and catheter removal, favoring a surgically inserted, straight-tip catheter [2]. In our study, we included 74 cases of children under 18 with end-stage renal disease (ESRD) from different hospitals in the Najaf Directorate of Health (NDoH) between July 2022 and July 2025. Both designs have been used according to the age of patients (straight-tip double cuff catheter used in infants, while the coiled-tip CAPD catheter was inserted in older age group patients). 72 (98%) had a CAPD coil-tip catheter inserted operatively. This study aims to investigate the complications associated with CAPD catheters in our center and to examine the factors contributing to failure, survival, and removal. We concluded that peritonitis is the commonly reported complication over the follow-up period, followed by CAPD obstruction and exit site infection. Keywords: ESRD, CAPD, chronic kidney disease in children. Title: Complications of Continuous Ambulatory Peritoneal Dialysis (CADP) catheter placement in pediatric patients Author: Hayder Nadhim Obaid Algabri, Haidar Mohammad Muhssein, Qahtan Mohammed Ali Al Obaidy, Zinah Khudair Abbas International Journal of Interdisciplinary Research and Innovations ISSN 2348-1218 (print), ISSN 2348-1226 (online) Vol. 13, Issue 2, April 2025 - June 2025 Page No: 79-86 Research Publish Journals Website: www.researchpublish.com Published Date: 27-June-2025 DOI: https://doi.org/10.5281/zenodo.15753667 Paper Download Link (Source) https://www.researchpublish.com/papers/complications-of-continuous-ambulatory-peritoneal-dialysis-cadp-catheter-placement-in-pediatric-patients