The Japanese Journal of Clinical Dialysis Vol.21 No.13(4-1)

Theme Nutritional Management of Patients with Renal Failure -- Suitable for Ages and Clinical Conditions
Title Management of nutrition after pediatric renal transplantation
Publish Date 2005/12
Author Yoshihiro Itabashi Department of Nephrology, Toho University School of Medicine
Author Atushi Aikawa Department of Nephrology, Toho University School of Medicine
[ Summary ] End-stage renal disease in pediatric patients impairs growth despite dialysis. However, renal transplantation has been considered the most optimal treatment which in achieving normal growth and development. Basically, post-transplant nutrition should not be restricted in order to catch up on growth which has been showed due to bone remolding and anemia. Excess intake of lipids, salt and sugar result in obesity, hyperglycemia, hypertension, and hyperlipidemia, combined with the metabolic side effects of immunosuppressive drugs. Well balanced nutrition can prevent complications in childhood as well as adult post-transplantation cases. If these measures are taken, pediatric renal transplant patients may be treated with proper nutritional management.
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