Document Detail


Control of dry weight and tube feeding improved the general condition of a hemodialysis patient: report of a case.
MedLine Citation:
PMID:  21970186     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Patients on long-term hemodialysis are at risk of developing malnutrition,and poor nutrient intake is an important factor in this. In the present case, we encountered a 55-year-old Japanese woman with end-stage renal failure and a past history of schizophrenia. Severe systemic edema was observed. Hemodialysis was started, but after one year she suddenly became unable to consume food orally, despite provision of a dietary plan by the nutrition support team (NST). Tube feeding was eventually implemented. Because the systemic edema did not improve, we decided to remove body fluid by intense hemodialysis. Hypotension was often observed during this hemodialysis, requiring dopamine. Over approximately 2 months, the patient's dry weight fell from 73 kg to 62 kg, the patient's activity improved and she became able to eat orally again, allowing tube feeding to be stopped. Although the reason for the sudden anorexia has not been clarified, tube feeding and dry weight control was successful in the treatment of this malnourished hemodialysis patient.
Authors:
Hajime Nakatani; Hajime Shoji; Mari Shibata; Mayumi Yoshida; Yuka Tadokoro; Nozomi Ogura; Yuichiro Inoue; Kazuhiro Hanazaki; Shinichi Hamada; Akihiro Kawamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hiroshima journal of medical sciences     Volume:  60     ISSN:  0018-2052     ISO Abbreviation:  Hiroshima J. Med. Sci.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-10-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421060     Medline TA:  Hiroshima J Med Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  37-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kubokawa Hospital, Shimanto-cho, Kochi 786-0002, Japan. nakatanh@yahoo.co.jp
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