Control of Cachexia and Ascites in Hemodialysis Patients by Binephrectomy

Feingold, L. N.

doi:10.1001/archinte.1974.00320240023002

Cited by 31 publications

(5 citation statements)

References 20 publications

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“…This is in comparison to a SAAG level of >1.1 that characterizes portal hypertension from hepatic causes (for instance liver cirrhosis), or post-hepatic causes (such as hepatic venous occlusion) [13,14]. The diagnosis of nephrogenic ascites thus requires comprehensive evaluation to rule out these important etiologies [10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

“…Pathological examination of the peritoneum in the affected patients usually reveals grossly normal appearing serosal surfaces; however, microscopical examination often shows chronic inflammatory infiltrate and reactive proliferation of the mesothelial cells with variable degrees of fibrosis, nevertheless, the histopathologic examination can be normal in some cases [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nephrogenic ascites has a poor prognosis with a mortality rate of 45 percent within 15 months of diagnosis [ 3 ]. About one-third of patients develop cachexia [ 3 , 10 ]. Kidney transplantation is the only definitive treatment with a resulting resolution of ascites within six weeks of transplantation in almost all patients [ 5 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

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Nephrogenic Ascites: An Unusual Culprit of Refractory Ascites in a Hemodialysis Patient—A Case Report and Review of Literature

Abdalla¹,

Saad²,

Abdalla³

et al. 2022

Cureus

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Nephrogenic ascites or dialysis-associated ascites is a rare condition that develops in patients with endstage renal disease (ESRD) who have been on long-term hemodialysis. It is characterized by rapidly accumulating ascites that is often recurrent and resistant to standard treatment. The diagnosis typically requires the exclusion of common causes of ascites including possible hepatic, cardiac, malignant, and infectious etiologies. Nephrogenic ascites generally has a poor prognosis. Renal transplantation is the sole definitive cure for this difficult-to-treat clinical entity, however, majority of the affected patients are usually deemed unsuitable candidates for transplantation.In this communication, the authors presented a rare case of nephrogenic ascites that posed a therapeutic challenge in an ESRD patient on regular hemodialysis along with a brief review of the literature regarding the pathogenesis, clinical features, and outcome of nephrogenic ascites.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Nephrogenic Ascites: An Unusual Culprit of Refractory Ascites in a Hemodialysis Patient—A Case Report and Review of Literature

Abdalla¹,

Saad²,

Abdalla³

et al. 2022

Cureus

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“…Dear Sir, Concerning the treatment of dialysis-re lated ascites, procedures involving intensive ultrafiltration, intravenous administration of albumin, renal transplantation, salt and water restriction, binephrectomy, intravenous rein fusion of concentrated peritoneal fluid, intra peritoneal administration of nonabsorbable steroid, peritoneovenous shunt and perito neal dialysis have so far been reported [1][2][3][4][5][6][7]. We attempted intravenous reinfusion of un modified peritoneal fluid combined with he modialysis.…”

mentioning

confidence: 99%

Long-Term Effect of Intravenous Reinfusion of Unmodified Autogenous Peritoneal Fluid Combined with Hemodialysis in a Patient with Dialysis-Related Ascites

Okada¹,

Takahashi²,

Higuchi

et al. 1993

Nephron

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“…Bilateral nephrectomy has also proven to be very effective in the treatment of 'dialysis syndrome' which consists of significant ascites and profound cachexia ( 12).…”

mentioning

confidence: 99%