| Theme |
Dialysis Re-initiation and Related Cares after Functional Loss of Transplanted Kidney |
| Title |
Re-dialysis for patients with residual functioning following renal transplant failure |
| Author |
Atsushi Sugitani |
Kidney Care Unit, Department of Surgery and Oncology, Kyushu University Graduate College of Medical Sciences |
| Author |
Hidehisa Kitada |
Kidney Care Unit, Department of Surgery and Oncology, Kyushu University Graduate College of Medical Sciences |
| Author |
Yasuhiro Okabe |
Kidney Care Unit, Department of Surgery and Oncology, Kyushu University Graduate College of Medical Sciences |
| Author |
Atsushi Doi |
Kidney Care Unit, Department of Surgery and Oncology, Kyushu University Graduate College of Medical Sciences |
| Author |
Kazuhiko Tsuruya |
Kidney Care Unit, Department of Surgery and Oncology, Kyushu University Graduate College of Medical Sciences |
| Author |
Masao Tanaka |
Kidney Care Unit, Department of Surgery and Oncology, Kyushu University Graduate College of Medical Sciences |
| [ Summary ] |
Improvements in surgical skills, pre- and post-transplant management and the advent of effective and less harmful immunosuppressive regimens for recent renal transplantation has resulted in better long term outcomes. Re-dialysis, however, is still an event which makes both recipients and doctors grieve. The points we must concentrate on for re-dialysis are the following : (1) early dialysis reintroduction is necessary, but supporting therapy is important to maintain functionality as long as possible, (2) to maintain minimum immunosuppression to prevent rejection, (3) providing time for patients to adapt to re-dialysis by gradually increasing the frequency of dialysis. |