22. Nutrition and diet-related bone disease in adult kidney transplant recipients

Tantisattamo, Ekamol; Ratanasrimetha, Praveen; Shetty, Aneesha; Ho, Bing; Ansari, Munavver Ali; Friedewald, John; Gallon, Lorenzo; Bailey, James L.

doi:10.3920/978-90-8686-823-0_22

Cited by 2 publications

(1 citation statement)

References 256 publications

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“…Apart from unrestricted phosphate diet, "renal diet" should be replaced with normal diet [7] because inadequate phosphate intake in the setting of functioning renal allograft can further worsen post-transplant hypophosphatemia [8]. In addition, kidney transplant recipients are usually told to consume high phosphate-containing diet such as a dark-colored fluid.…”

Section: Immunologic Factors a Inappropriate Dietary Intakementioning

confidence: 99%

Challenging Weight Gain and Obesity: An Opportunity for Dietary Management after Successful Kidney Transplantation

Tantisattamo¹

2017

AOWMC

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Several factors contributing to post-transplant weight gain and obesity may occur during pre-, peri-, and/or post-transplant periods. The main factors are summarized in Figure 1. Pre-transplant periodDuring the pre-transplant period, there are several factors related to advanced CKD and ESRD that potentially increase the risk for post-transplant weight gain and obesity. These main risk factors include:Pre-transplant obesity: Data from a single kidney transplant center revealed that around one-third of ESRD patients were AbstractWeight gain and obesity are common after kidney transplantation. Several known risk factors for obesity in non-transplant population remain to be the important determining factors for obesity in kidney transplant recipients. In addition, some factors related to kidney transplantation contribute to post-transplant weight gain and obesity. These factors can occur during pre-, peri-, and/or post-transplant periods. During pre-transplant period, underlying conditions such as metabolic syndrome place the patients at risk for obesity after kidney transplantation. Positive fluid balance during peri-transplant period transiently causes posttransplant weight gain. Post-operative pain from surgical wounds limits physical activities and prevents weight loss especially in patients with pre-transplant obesity. Immunologic and non-immunologic factors during post-transplant period can become barriers to lose weight or even perpetuate obesity. Among of these factors, inappropriate dietary and nutrition management plays an important role in post-transplant weight gain and obesity. Apart from the dietary aspect, there are other factors contributing to post-transplant weight gain and obesity and these include the individual patient and their family, kidney transplant team through education and social aspects. Therefore, a multidisciplinary approach is required to prevent post-transplant weight gain and obesity.

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Section: Immunologic Factors a Inappropriate Dietary Intakementioning

confidence: 99%

Challenging Weight Gain and Obesity: An Opportunity for Dietary Management after Successful Kidney Transplantation

Tantisattamo¹

2017

AOWMC

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A True Paraurethral Leiomyoma, A Case Report and Review of Literature

Rezai¹,

LoBue²,

Bahl³

et al. 2017

OGIJ

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Leiomyoma is a benign mass of smooth muscle cells that most frequently occurs in the gastrointestinal and genitourinary system. However, leiomyomas arising from the female urethra, especially paraurethral, are exceedingly rare. We present a case of a true paraurethral leiomyoma. The initial presenting complaints were dyspareunia, increased urinary frequency, and a 1.8 cm lesion in the anterolateral wall of the vagina that was suspicions of a Gartner's duct cyst. However, the patient was lost to followup for 5 years. On return, the patient continued to complain of dyspareunia, urinary frequency, suprapubic pain, and dysuria. The patient was treated for multiple instances of urinary tract infections (UTIs) without symptomatic improvement. A pelvic MRI demonstrated a 3.8 x 4.1 x 4.7 cm mass within the left anterior aspect of the lower cervix/vagina. Cystoscopy was notable for an unremarkable urethra with an anterior vaginal wall mass extrinsically pushing the bladder trigone without penetration into the bladder mucosa or communication with the ureter or vagina. A biopsy from the paraurethral mass revealed well-delineated cells with low mitotic figures encompassed in a fibrous capsule non-adherent to adjacent structures. The mass was subsequently excised through the anterior vaginal wall with no complications and complete resolution of symptoms.

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22. Nutrition and diet-related bone disease in adult kidney transplant recipients

Cited by 2 publications

References 256 publications

Challenging Weight Gain and Obesity: An Opportunity for Dietary Management after Successful Kidney Transplantation

Challenging Weight Gain and Obesity: An Opportunity for Dietary Management after Successful Kidney Transplantation

A True Paraurethral Leiomyoma, A Case Report and Review of Literature

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