CAPD with Icodextrin solution preserved the residual renal graft function and improved the quality of life in cadaveric renal transplanted ESRD patients with deteriorated graft function

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  • Kimura Masaki
    Department of Urology, Kitasato University School of Medicine
  • Yoshida Kazunari
    Department of Urology, Kitasato University School of Medicine
  • Fujita Tetsuo
    Department of Urology, Kitasato University School of Medicine
  • Ishii Daisuke
    Department of Urology, Kitasato University School of Medicine
  • Okusa Hiroshi
    Department of Urology, Kitasato University School of Medicine
  • Sudo Toshio
    Department of Urology, Kitasato University School of Medicine
  • Nishi Morihiro
    Department of Urology, Kitasato University School of Medicine
  • Hirayama Takahiro
    Department of Urology, Kitasato University School of Medicine
  • Tsuchida Mayumi
    Department of Urology, Kitasato University School of Medicine
  • Minamida Satoru
    Department of Urology, Kitasato University School of Medicine
  • Ikeda Katsuomi
    Department of Urology, Kitasato University School of Medicine
  • Hamura Motoko
    Department of Nephrology, Kitasato University School of Medicine
  • Takeuchi Yasuo
    Department of Nephrology, Kitasato University School of Medicine
  • Hyodo Toru
    Department of Urology, Kitasato University School of Medicine Department of Urology, Yokohama Dai-ichi Hospital
  • Kamata Koju
    Department of Nephrology, Kitasato University School of Medicine
  • Baba Shiro
    Department of Urology, Kitasato University School of Medicine

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Other Title
  • 腎移植後の透析再導入例にイコデキストリン腹膜透析液を使用し移植残腎機能温存とＱＯＬ改善を認めた１症例
  • 症例報告 腎移植後の透析再導入例にイコデキストリン腹膜透析液を使用し移植残腎機能温存とQOL改善を認めた1症例
  • ショウレイ ホウコク ジンイショクゴ ノ トウセキ サイドウニュウレイ ニ イコデキストリン フクマク トウセキエキ オ シヨウシ イショク ザンジン キノウ オンゾン ト QOL カイゼン オ ミトメタ 1 ショウレイ

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In this paper, we report a patient in whom residual renal graft function was successfully preserved using continuous ambulatory peritoneal dialysis (CAPD) with Icodextrin solution at reintroduction of dialysis after deterioration of graft function. A 70-year-old female underwent cadaver renal transplantation in 2001 after two years of hemodialysis due to end stage renal disease. Renal graft function deteriorated gradually over several years, and CAPD was reintroduced in June 2004. However, we encountered difficulty in controling her water balance and she developed edema and cardiac enlargement. In September 2004, we changed the CAPD prescription from 1.5% dextrose to Icodextrin solution at night. CAPD with Icodextrin solution increased her urine volume and corrected her body fluid status, CTR (cardiothracic ratio) and improved lipid metabolism and nutritional status. In this case, CAPD with Icodextrin solution contributed markedly to preserving residual renal graft function and finally improved her quality of life as evaluated by SF-36 (short form 36).

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