Formation and composition of crust in the nephrostomy tube of patients undergoing percutaneous nephrostomy

To investigate the formation and composition of crust in the nephrostomy tube (NT) of patients undergoing percutaneous nephrostomy (PCN). Consecutive patients undergoing PCN for the treatment of obstructive nephropathy who then underwent NT exchange between January 2020 and May 2022 were included in...

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Published in:Medicine (Baltimore) 2022-12, Vol.101 (50), p.e31607-e31607
Main Authors: Ding, Jiyao, Yu, Haiyang, Zhang, Jiawei, Ruan, Li, Gu, Xiaocheng, Chen, Wenhua, Jia, Zhongzhi
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Apatites
Calcium Oxalate
Carbonates
Female
Humans
Kidney Calculi
Male
Middle Aged
Nephrostomy, Percutaneous - adverse effects
Observational Study
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creator Ding, Jiyao
Yu, Haiyang
Zhang, Jiawei
Ruan, Li
Gu, Xiaocheng
Chen, Wenhua
Jia, Zhongzhi
description To investigate the formation and composition of crust in the nephrostomy tube (NT) of patients undergoing percutaneous nephrostomy (PCN). Consecutive patients undergoing PCN for the treatment of obstructive nephropathy who then underwent NT exchange between January 2020 and May 2022 were included in the study. The composition of crust in NTs was analyzed using infrared spectrum automatic analysis system. A total of 46 NTs were collected from 46 consecutive patients (19 men, 27 women; mean age, 68.5 ± 13.4 years) who underwent PCN. The median indwelling time of NTs was 96 days (Q1, 90 days; Q3, 140 days). Among the 46 NTs, 20 (43.5%) were positive for the presence of crust. The mean indwelling time was significantly longer in NTs positive for crust than in those negative for crust (169.7 ± 55.7 days vs 86.5 ± 15.0 days; P  
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Consecutive patients undergoing PCN for the treatment of obstructive nephropathy who then underwent NT exchange between January 2020 and May 2022 were included in the study. The composition of crust in NTs was analyzed using infrared spectrum automatic analysis system. A total of 46 NTs were collected from 46 consecutive patients (19 men, 27 women; mean age, 68.5 ± 13.4 years) who underwent PCN. The median indwelling time of NTs was 96 days (Q1, 90 days; Q3, 140 days). Among the 46 NTs, 20 (43.5%) were positive for the presence of crust. The mean indwelling time was significantly longer in NTs positive for crust than in those negative for crust (169.7 ± 55.7 days vs 86.5 ± 15.0 days; P  &lt; .01). In the NTs positive for crust, the crust was composed of mixed components (apatite carbonate and magnesium ammonium phosphate hexahydrate, n = 7; apatite carbonate and calcium oxalate monohydrate, n = 4) in 11 NTs and a single component (apatite carbonate, n = 5; anhydrous uric acid, n = 2; calcium oxalate monohydrate, n = 2) in 9 NTs. When the NT indwelling time was longer than 3 months, the incidence of crust formation in the NT was significantly increased. Crust was most commonly composed of mixed components. In light of these findings, we suggest that NTs should be exchanged every 3 to 4 months to prevent the formation of crust and thus prevent obstruction of the NT.</description><identifier>ISSN: 1536-5964</identifier><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000031607</identifier><identifier>PMID: 36550820</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Aged ; Aged, 80 and over ; Apatites ; Calcium Oxalate ; Carbonates ; Female ; Humans ; Kidney Calculi ; Male ; Middle Aged ; Nephrostomy, Percutaneous - adverse effects ; Observational Study</subject><ispartof>Medicine (Baltimore), 2022-12, Vol.101 (50), p.e31607-e31607</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2022 the Author(s). 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Consecutive patients undergoing PCN for the treatment of obstructive nephropathy who then underwent NT exchange between January 2020 and May 2022 were included in the study. The composition of crust in NTs was analyzed using infrared spectrum automatic analysis system. A total of 46 NTs were collected from 46 consecutive patients (19 men, 27 women; mean age, 68.5 ± 13.4 years) who underwent PCN. The median indwelling time of NTs was 96 days (Q1, 90 days; Q3, 140 days). Among the 46 NTs, 20 (43.5%) were positive for the presence of crust. The mean indwelling time was significantly longer in NTs positive for crust than in those negative for crust (169.7 ± 55.7 days vs 86.5 ± 15.0 days; P  &lt; .01). In the NTs positive for crust, the crust was composed of mixed components (apatite carbonate and magnesium ammonium phosphate hexahydrate, n = 7; apatite carbonate and calcium oxalate monohydrate, n = 4) in 11 NTs and a single component (apatite carbonate, n = 5; anhydrous uric acid, n = 2; calcium oxalate monohydrate, n = 2) in 9 NTs. When the NT indwelling time was longer than 3 months, the incidence of crust formation in the NT was significantly increased. Crust was most commonly composed of mixed components. In light of these findings, we suggest that NTs should be exchanged every 3 to 4 months to prevent the formation of crust and thus prevent obstruction of the NT.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Apatites</subject><subject>Calcium Oxalate</subject><subject>Carbonates</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Calculi</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - adverse effects</subject><subject>Observational Study</subject><issn>1536-5964</issn><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpdUc1O3DAYtFArlgJPUAn52Euof-J4fUFCUGglEBc4W473yybbxA62U8TbY9hlWeqL_dkz4xkNQt8pOaVEyZ-3l6fkY3FaEbmHDqjgVSFUVX7ZOc_QtxhXhFAuWbmPZrwSgswZOUCrKx8GkzrvsHELbP0w-ti9zb7BNkwx4c7h1AJ2MLbBx-SHZ5ymGl4BY6aCSxFPbgFh6Tu3xCMEOyXjwE9xl3SEvjamj3C82Q_Rw9Wv-4vfxc3d9Z-L85vCloTMiwWlTSOauiR1DgUgZFUDUGsqxpVkxihFK6rAMmtBAGWiVrxWsjS2MdwCP0Rna91xqgdY2OwvmF6PoRtMeNbedPrzi-tavfT_tJIyq5Es8GMjEPzjBDHpoYsW-n6dSTMp5iS7YCxD-Rpqc8gYoNl-Q4l-bUnfXur_W8qsk12HW857LRlQrgFPvk8Q4t9-eoKgWzB9at_0hFSsYIQxyrJkkW_YnL8Aa6OhIA</recordid><startdate>20221216</startdate><enddate>20221216</enddate><creator>Ding, Jiyao</creator><creator>Yu, Haiyang</creator><creator>Zhang, Jiawei</creator><creator>Ruan, Li</creator><creator>Gu, Xiaocheng</creator><creator>Chen, Wenhua</creator><creator>Jia, Zhongzhi</creator><general>Lippincott Williams &amp; Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7238-6510</orcidid></search><sort><creationdate>20221216</creationdate><title>Formation and composition of crust in the nephrostomy tube of patients undergoing percutaneous nephrostomy</title><author>Ding, Jiyao ; Yu, Haiyang ; Zhang, Jiawei ; Ruan, Li ; Gu, Xiaocheng ; Chen, Wenhua ; Jia, Zhongzhi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4008-d11ff5fb40b031ee576bee1ca623972aa991619ec2cce5e125b93b974acfa3ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Apatites</topic><topic>Calcium Oxalate</topic><topic>Carbonates</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Calculi</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nephrostomy, Percutaneous - adverse effects</topic><topic>Observational Study</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ding, Jiyao</creatorcontrib><creatorcontrib>Yu, Haiyang</creatorcontrib><creatorcontrib>Zhang, Jiawei</creatorcontrib><creatorcontrib>Ruan, Li</creatorcontrib><creatorcontrib>Gu, Xiaocheng</creatorcontrib><creatorcontrib>Chen, Wenhua</creatorcontrib><creatorcontrib>Jia, Zhongzhi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ding, Jiyao</au><au>Yu, Haiyang</au><au>Zhang, Jiawei</au><au>Ruan, Li</au><au>Gu, Xiaocheng</au><au>Chen, Wenhua</au><au>Jia, Zhongzhi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Formation and composition of crust in the nephrostomy tube of patients undergoing percutaneous nephrostomy</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2022-12-16</date><risdate>2022</risdate><volume>101</volume><issue>50</issue><spage>e31607</spage><epage>e31607</epage><pages>e31607-e31607</pages><issn>1536-5964</issn><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>To investigate the formation and composition of crust in the nephrostomy tube (NT) of patients undergoing percutaneous nephrostomy (PCN). Consecutive patients undergoing PCN for the treatment of obstructive nephropathy who then underwent NT exchange between January 2020 and May 2022 were included in the study. The composition of crust in NTs was analyzed using infrared spectrum automatic analysis system. A total of 46 NTs were collected from 46 consecutive patients (19 men, 27 women; mean age, 68.5 ± 13.4 years) who underwent PCN. The median indwelling time of NTs was 96 days (Q1, 90 days; Q3, 140 days). Among the 46 NTs, 20 (43.5%) were positive for the presence of crust. The mean indwelling time was significantly longer in NTs positive for crust than in those negative for crust (169.7 ± 55.7 days vs 86.5 ± 15.0 days; P  &lt; .01). In the NTs positive for crust, the crust was composed of mixed components (apatite carbonate and magnesium ammonium phosphate hexahydrate, n = 7; apatite carbonate and calcium oxalate monohydrate, n = 4) in 11 NTs and a single component (apatite carbonate, n = 5; anhydrous uric acid, n = 2; calcium oxalate monohydrate, n = 2) in 9 NTs. When the NT indwelling time was longer than 3 months, the incidence of crust formation in the NT was significantly increased. Crust was most commonly composed of mixed components. In light of these findings, we suggest that NTs should be exchanged every 3 to 4 months to prevent the formation of crust and thus prevent obstruction of the NT.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>36550820</pmid><doi>10.1097/MD.0000000000031607</doi><orcidid>https://orcid.org/0000-0001-7238-6510</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Apatites
Calcium Oxalate
Carbonates
Female
Humans
Kidney Calculi
Male
Middle Aged
Nephrostomy, Percutaneous - adverse effects
Observational Study
title Formation and composition of crust in the nephrostomy tube of patients undergoing percutaneous nephrostomy
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