Extended-Hours Hemodialysis without Dietary Restrictions Increases Body Mass Index and Normalizes Hypertension: A Case Report
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- Kaneda Hiroshi
- Department of Nephrology, Kamome Clinic
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- Nishiyama Toshiro
- Department of Medical Engineering, Kamome Clinic
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- Owada Kazunori
- Department of Nephrology, Kamome Clinic
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- Katayose Koichi
- Department of Nephrology, Kamome Clinic
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- Takagi Yutaka
- Department of Nephrology, Kamome Clinic
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- Ishikawa Shigefumi
- Department of Nephrology, Nagoya University Graduate School of Medicine
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- Tabata Shiro
- Department of Orthopaedic Surgery, Kamome Clinic
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- Kaneda Fumika
- Department of Nephrology, Kamome Clinic
書誌事項
- 公開日
- 2023
- 資源種別
- journal article
- DOI
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- 10.1620/tjem.2023.j025
- 公開者
- 東北ジャーナル刊行会
この論文をさがす
説明
<p>Dialysis technology has made remarkable progress. However, many patients still suffer from malnutrition and hypertension. They cause many complications and significantly impact patients’ quality of life and prognosis. To solve these problems, we developed a new dialysis modality, extended-hours hemodialysis without dietary restrictions. Here we report a case of a man who has received this treatment for 18 years. He had been on conventional hemodialysis (three times a week for 4 hours) since his dialysis initiation. He suffered from hypertension and was on five antihypertensive drugs to control his blood pressure. In addition, dietary restrictions were strict, and the nutritional status was somewhat poor. After being transferred to our clinic, the dialysis time was gradually extended to 8 hours, and dietary restrictions were greatly relaxed. Interestingly, his body mass index (BMI) increased, and his hypertension was controlled. After 3 years, he stopped all antihypertensive drugs. This result suggests that improving nutritional status may control hypertension. However, salt intake was substantially increased. Serum phosphorus and serum potassium levels were at a slightly higher level but were controlled by medications. At the time of transfer, anemia was treated with erythropoiesis-stimulating agents and glycated iron oxide, but these drugs were gradually reduced and discontinued. However, he maintained high average erythrocyte counts and normal hemoglobin levels. Dialysis conditions were wholly slow dialysis, lower than conventional dialysis methods, but the dialysis efficiency was satisfactory. In conclusion, we speculate that extended-hours hemodialysis without dietary restrictions reduces the risk of malnutrition and hypertension.</p>
収録刊行物
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- The Tohoku Journal of Experimental Medicine
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The Tohoku Journal of Experimental Medicine 260 (2), 135-140, 2023
東北ジャーナル刊行会
