| Theme | Reconsidering of Diet Therapy for Patients with Chronic Kidney Disease -- Is the clinical guideline for diet therapy edited by Japanese Society of Nephrology at 1997 valid? | |
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| Title | Nutrition care and management (NCM) for adult peritoneal dialysis patients | |
| Publish Date | 2006/12 | |
| Author | Makoto Ishizaki | Kidney Center, Eijinkai Hospital |
| [ Summary ] | The function of the peritoneal membrane deteriorates with continued peritoneal dialysis (PD) over long periods. This situation contributes to inadequate dialysis dose such as decreasing both removal of uremic toxins and ultra-filtration. Inadequate dialysis has a strong influence on nutritional status. In addition, when residual renal function deteriorates, it is difficult to prescribe adequate dialysis dose. The CAPD prescription for increasing dialysis dose, a larger amount of dialysis solution to be indwelled, generally into the abdominal cavity. Therefore, an increase in abdominal hydrostatic pressure produces a decline in appetite. An adequate dialysis prescription, using an APD cycler, may increase appetite, improving nutritional status. Problems with alimentary therapy for peritoneal dialysis may be solved by optimal PD prescription and NCM. |
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