Correction of CAPD catheter displacement using gastric biopsy forceps: the push-pull method

Area of Science:

• Nephrology
• Minimally Invasive Surgery

Background:

• Malpositioned peritoneal dialysis catheters can impede treatment efficacy.
• Existing repositioning methods may be invasive or time-consuming.

Purpose of the Study:

• To introduce and evaluate a novel
• push-pull method
• for correcting malpositioned continuous ambulatory peritoneal dialysis catheters.

Main Methods:

• A gastric biopsy forceps was used to manipulate the catheter tip through the abdominal wall.
• The
• push-pull method
• involved repeated insertion and removal of the forceps to guide the catheter back into the pelvic cavity.

Main Results:

• The technique was successful in all six patients, including those with Swan neck straight (n=2) and coiled (n=4) catheters.
• The procedure required only 5-10 minutes to complete.
• No complications were reported during or after the repositioning procedure.

Conclusions:

• The
• push-pull method
• is a safe, effective, and rapid technique for correcting malpositioned peritoneal dialysis catheters.
• This approach offers a valuable alternative to more invasive interventions for catheter dysfunction.