Randomized Clinical Trial on the Efficacy and Safety of Preoperative Enema in the Prevention of Peritoneal Dialysis Catheter Dysfunction

Introduction: Current clinical practice guidelines do not universally recommend bowel preparation for peritoneal dialysis (PD) catheter insertion. This randomized controlled trial aimed to evaluate the efficacy and safety of preoperative enema in preventing PD catheter dysfunction. Methods: = 68). The primary end point was the incidence of catheter dysfunction requiring intervention within 3 months postoperation. Secondary outcomes encompassed the incidence of catheter dysfunction requiring intervention in 6 months, catheter event free survival time, the incidence of PD-associated peritonitis, and other catheter-related complications. Results: = 0.0015). Only 1 control patient (1.5%) required surgical revision. There was no statistically significant difference between the 2 groups in terms of other infection and noninfection complications. Conclusion: Preoperative enema significantly reduces early PD catheter dysfunction risk without increasing complication rates. These findings support incorporating bowel preparation into standard preoperative protocols for PD catheter placement.