title: Correction of CAPD catheter displacement using gastric biopsy forceps: the push-pull method.
abstract: We corrected malpositioned continuous ambulatory peritoneal dialysis catheters in six patients using a new technique named the "push-pull method". A gastric biopsy forceps was advanced through the catheter to near its tip. After manipulating the tip of the forceps through the abdominal wall, the forceps was opened and pulled out slowly. Repeated insertion and removal of the forceps induced the catheter to return to the pelvic cavity. This push-pull method was successful for Swan neck straight (n=2) and coiled (n=4) catheters in all patients. The time required for the procedure was only 5-10 minutes and there were no complications.
authors.affiliation: Department of Internal Medicine, Hakuai Hospital, Kure, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Ohira
authors.forename: N
authors.initials: N
authors.lastname: Yorioka
authors.forename: T
authors.initials: T
authors.lastname: Ito
authors.forename: K
authors.initials: K
authors.lastname: Takasugi
authors.forename: N
authors.initials: N
authors.lastname: Takasugi
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy / Q000295:instrumentation*; D002404:Catheterization; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation*; D013270:Stomach / Q000473:pathology; D013525:Surgical Instruments