Rectus abdominis muscle thickness as a predictor of peritoneal catheter dysfunction in emergency-start peritoneal dialysis patients

2021 ◽  
Author(s):  
Jonathan S. Chávez-Iñiguez ◽  
Pablo Maggiani-Aguilera ◽  
José A. Cruz-Ramos ◽  
Guillermo Navarro-Blackaller ◽  
Victor H. Luquín- Arellano ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Muscle Thickness ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
Dialysis Patients ◽  
Peritoneal Catheter ◽  
Catheter Dysfunction

Electromyographic and ultrasonographic evaluation of neuromuscular electrical stimulation training on the equine rectus abdominis muscle

2020 ◽  
Vol 16 (2) ◽  
pp. 87-100
Author(s):  
T. Hernández-Fernández ◽  
L. Gutiérrez-Cepeda ◽  
J. López-Sanromán ◽  
G. Manso-Díaz ◽  
R. Cediel
Keyword(s):  
Electrical Stimulation ◽  
Muscle Force ◽  
Neuromuscular Electrical Stimulation ◽  
Muscle Thickness ◽  
Muscular Contraction ◽  
Rectus Abdominis ◽  
Wilcoxon Test ◽  
Median Frequency ◽  
Rectus Abdominis Muscle ◽  
Test Analysis

The current study aimed to determine the effects of neuromuscular electrical stimulation (NMES) on equine rectus abdominis using surface electromyography (sEMG) and ultrasonographic muscle thickness evaluation. Five horses were trained with NMES for 12 weeks; muscle thickness and sEMG evaluations were obtained before and after the training period. Three different tests were carried out for sEMG evaluations: Test A tried to elicit a voluntary maximal isometric contraction (VMIC); Test B used NMES to elicit a muscular contraction; and Test C used 1 ms repetitive electrical impulses to elicit a series of M-waves. Muscle strength was evaluated from the root mean square (RMS; Tests A and B) and peak to peak (PP; Test C) values obtained from the sEMG data. Measures related to amplitude (RMSa; RMSm; RMSa; PP) were normalised with their pre-training values for every muscle prior to statistical analysis, leading to values as a proportion of the initial value. The evaluation of muscle fatigue was performed using a Fourier test analysis of the frequency range, obtaining the median frequency (MF) for all tests. Muscle thickness (MT) was measured by ultrasound of left and right sides of the rectus abdominis. Data were analysed using non parametric test of Wilcoxon (Test A RMSa; Test A RMSm; Test B RMSa; Test B RMSm; Test C PP; MT; P<0.05) and t-test (Test A MF; Test B MF; Test C MF; P<0.05). Statistical differences were observed between baseline and trained horses. Muscle force increase following NMES training in Test B (RMSa 2.50±0.69; RMSm 2.59±0.76) and Test C (PP 5.20±1.76). Fatigue of the rectus abdominis decreased in Test A (168.33±55.19 vs 232.63±44.15 Hz) and Test C MF (187.93±20.76 vs 236.98±52.39 Hz), but not in Test B (363.98±45.48 vs 327.95±50.84 Hz). The difference in muscle thickness between the two groups was not significant (10.96±0.64; 11.78±0.79 mm). The results suggest that NMES training could be used as an effective method to increase muscle force and fatigue resistance of the rectus abdominis muscle in the horse.

scholarly journals Advanced T stage and thick rectus abdominis muscle triggers outlet obstruction and high-output stoma following ileostomy in patients with rectal cancer

2020 ◽  
Author(s):  
Yasuhiro Komatsu ◽  
Kunitoshi Shigeyasu ◽  
Yoshiko Mori ◽  
Kazutaka Takahashi ◽  
Nanako Hata ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Outlet Obstruction ◽  
Muscle Thickness ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
T Stage ◽  
Common Risk Factors ◽  
Postoperative Problems ◽  
High Output

Abstract Background Ileostomy creation is an excellent approach to prevent leakage in patients undergoing low anterior resection for the treatment of rectal cancer. However, the two major complications of ileostomy are outlet obstruction and high-output stoma, and these complications remain unavoidable postoperative problems of ileostomy. Methods Risk factors associated with outlet obstruction and high-output stoma were retrospectively analyzed. The study included 83 patients with rectal cancer who underwent surgery. Of these patients, 34 underwent ileostomy creation. Results We found that outlet obstruction and high-output stoma were highly related (p = 0.03). Additionally, a thick rectus abdominis muscle and advanced T stage were the common risk factors of outlet obstruction (p = 0.0005 and p = 0.01, respectively) and high-output stoma (p = 0.04 and p = 0.03, respectively). Conclusions Our findings suggest that rectus abdominis muscle thickness and advanced T stage are predictive markers of outlet obstruction and high-output stoma.

Assessing Mechanical Catheter Dysfunction in Peritoneal Dialysis Patients: A Case Control, Proof-of-Concept Study

2021 ◽  
Author(s):  
Krystell Oviedo Flores ◽  
Lukas Kaltenegger ◽  
Fabian Eibensteiner ◽  
Markus Unterwurzacher ◽  
Klaus Kratochwill ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Proof Of Concept ◽  
Peritoneal Membrane ◽  
Predictive Capability ◽  
Dialysis Patients ◽  
Membrane Function ◽  
Catheter Dysfunction ◽  
Drain Time ◽  
New Guidelines

Abstract New guidelines on evaluation of peritoneal membrane function recommend ruling out catheter dysfunction when evaluating patients with low ultrafiltration capacity. We introduce the use of a combination of parameters obtained from daily measurements of the cycler software for predicting catheter dysfunction in automated peritoneal dialysis patients. Out of 117 patients treated between 2015 and 2021, all patients with verified catheter dysfunction (n=14) were identified and compared to controls (n=19). We retrieved cycler data for seven days each and tested parameters predictive capability of catheter dysfunction. Total number of alarms/week >7 as single predictive parameter of catheter dislocation identified 85.7% (sensitivity) of patients with dislocated catheter and 31.6% (1-specificity) of control patients. A combination of parameters (number of alarms/week >7, drain time >22 min, ultrafiltration of last fill <150 mL) where at least two of three parameters appeared identified the same proportion of patients with catheter dislocation, but was more accurate in identifying controls (21% false positive). An easily applicable combination of daily cycler readout parameters, also available in remote monitoring platforms can be used as predictor of inadequate catheter function during routine follow-up with potential for earlier diagnosis of this frequent complication in the future.

Risk of Outlet Obstruction Associated With Defunctioning Loop Ileostomy in Rectal Cancer Surgery

2021 ◽  
Vol 1 (5) ◽  
pp. 465-470
Author(s):  
HIROYA ENOMOTO ◽  
KATSUHITO SUWA ◽  
NANA TAKEUCHI ◽  
YOSHITO HANNYA ◽  
YUHEI TSUKAZAKI ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Odds Ratio ◽  
Rectal Resection ◽  
Univariate Analysis ◽  
Outlet Obstruction ◽  
Muscle Thickness ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
Anterior Rectal Resection

Background: The outlet obstruction (OO) rate is 5.4-18.4% after defunctioning ileostomy (DI) following rectal cancer resection to reduce the incidence and severity of anastomotic leakage; OO affects a patient’s quality of life and prolongs hospitalization. Patients and Methods: A retrospective analysis was performed of patients who underwent anterior rectal resection and DI for rectal cancer. Results: Among 100 patients undergoing anterior rectal resection with DI for rectal cancer, 28 (28%) developed OO. Anastomotic leakage and a rectus abdominis muscle thickness ≥10 mm on preoperative computed tomography were significantly associated with the risk of OO in univariate analysis. Multivariate analysis also demonstrated that anastomotic leakage (odds ratio=4.320, 95% confidence interval=1.280-14.60, p=0.019) and rectus abdominis muscle thickness ≥10 mm (odds ratio=3.710, 95% confidence intervaI=1.280-10.70, p=0.016) were significantly risk factors for OO. Conclusion: When OO is observed, an anastomotic leakage should be suspected, especially if there is a high rectus abdominis muscle thickness.

The Self-Locating Catheter: Clinical Evaluation and Comparison with the Tenckhoff Catheter

1999 ◽  
Vol 19 (6) ◽  
pp. 540-543 ◽  
Author(s):  
Romano Cavagna ◽  
Cristina Tessarin ◽  
Giovanni Tarroni ◽  
Daniela Casol ◽  
Linda De Silvestro ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
The Self ◽  
Pelvic Cavity ◽  
Dialysis Fluid ◽  
Dialysis Patients ◽  
Peritoneal Catheter ◽  
Peritoneal Adhesions ◽  
Catheter Migration ◽  
Tenckhoff Catheter ◽  
Group 4

Background Peritoneal catheter displacement appears to be related to various causes including omental attachment, bowel contractions, peritoneal adhesions, and the catheter floating in the dialysis fluid. In order to prevent this complication, which can impair peritoneal dialysis efficacy, Di Paolo et al. designed a “self-locating catheter” (SLC) that is similar to the Tenckhoff catheter (TC) and includes a small tungsten cylinder (weight 12 g) at the distal end (Di Paolo N, et al. The self positioning catheter. Proceedings of the VII Italian Congress on Peritoneal Dialysis. Milan: Wichtig Editore, 1993:539–42). The weight of the tip prevents the catheter from floating and migrating by gravitation toward the Douglas cavity. Objective Starting in 1996, we implanted SLC in 15 continuous ambulatory peritoneal dialysis patients. The aim of our study was to compare the ratio of migration and other catheter-related complications between patients with SLC (196 patient-months) and 13 patients with conventional straight TC (295 patient-months). Results Peritonitis ratio, catheter complication rate, dialysate inflow and outflow, and weekly creatinine clearance were similar in the two groups of patients. The incidence of catheter displacement was significantly higher ( p = 0.0349) in the TC group than in the SLC group (4 vs 0). Conclusion In our experience, the SLC seems to be useful in preventing catheter migration by continuous gravitation of its extremity toward the pelvic cavity.

scholarly journals Imaging-based assessment of rectus abdominis muscle thickness in an adult population: evaluating possible anthropometric relationships

2014 ◽  
Vol 3 ◽  
pp. 180-187
Author(s):  
Ogugua Augustine Egwu ◽  
Ukoha Ukoha Ukoha ◽  
Lasbrey A. Asomugha ◽  
Sylvester Okorie
Keyword(s):  
Adult Population ◽  
Muscle Thickness ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle

Assessment of Rectus Abdominis muscle thickness during isometric trunk and leg lifting exercises using extended field of view (EFOV) ultrasound

2020 ◽  
Vol 22 (4) ◽  
pp. 430
Author(s):  
Konstantinos Dafkou ◽  
Eleftherios Kellis ◽  
Athanasios Ellinoudis ◽  
Chrysostomos Sahinis ◽  
Nikiforos Galanis
Keyword(s):  
Diagnostic Tool ◽  
Muscle Thickness ◽  
Distal Segment ◽  
Rectus Abdominis ◽  
Field Of View ◽  
Rectus Abdominis Muscle ◽  
Extended Field ◽  
Length Changes ◽  
Type Of Exercise ◽  
Extended Field Of View

Aim: The purpose of the present study was to establish which type of exercise is optimal for Rectus Abdominis (RA) muscle, by measuring thickness and length changes using the extended field of view ultrasonography (EFOV US) during different conditions. The second purpose was to estimate the reliability of EFOV US as a muscle morphology assessment tool.Material and methods: Segmental muscle thickness and length of 11 young healthy adults was assessed during 1) rest and isometric 2) trunk lifting, 3) leg lifting and 4) combined trunk and leg lifting exercises with the use of EFOV US.Results: RA muscle thickness was significantly greater during exercises compared to rest (p<0.05). It was also observed that proximal and proximal-middle segments showed significantly less thickness and length compared to distal-middle and distal segments (p<0.05). Even though no differences in thickness were observed between the exercises, leg lifting and combined trunk and leg lifting exercises affected more the distal segment of RA muscle (p<0.05). Moreover, no significant differences in length between exercises was found (p>0.05). Further, EFOV US displayed excellent reliability as the ICC values ranged from 0.82 to 0.97.Conclusions: According to our observations it seems that exercises that induce lifting of the legs might be more effective for the distal parts of RA muscle. EFOV appears to be a reliable diagnostic tool for measuring RA muscle thickness during rest and contracting states.

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