| Theme | The Choice of Blood Purification for the Patients with Renal Failure | |
|---|---|---|
| Title | Common complication and selection of dialysis therapy for gastrointestinal diseases | |
| Publish Date | 2000/01 | |
| Author | Sigeru Miyazaki | Kidney Center, Shinraku-en Hospital |
| Author | Shinji Sakai | Kidney Center, Shinraku-en Hospital |
| [ Summary ] | Dialysis patients with liver cirrhosis (LC), hepatic cell carcinoma (HCC) and ischemic colitis (IC) were treated in our hospital for 25 years. Complications of LC, including hepatic coma, esophageal varices, ascites, hepatic failure and HCC of hemodialysis patients, was managed the same as that of non-dialysis patients. Both hemodialysis and peritoneal dialysis (CAPD) were suitable for patients with LC and HCC, however CAPD therapy in LC patients with massive ascites may be recommended after treatment of esophageal varices. IC was a frequent comolication and its prognosis was very poor, even after the emergent laparotomies for dialysis patients. Careful examination is required in dialysis patients when they have severe abdominal pain, melena or diarrhea after dialysis therapy or hypotensive episodes. To correct hyperkalemia, metabolic acidosis and hyporoteinemia, hemodialysis therapy during laparotomic operations can be safety performed by employing Futhan(R) as an anticoagulant. |
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