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Hemodialysis ascites in anephric patients
Clinical Nephrology
|April 1, 1981
Summary
Ascites in anephric hemodialysis patients, termed "hemodialysis ascites," occurred without a clear cause. These findings question the routine use of bilateral nephrectomy for treating this condition.
Area of Science:
- Nephrology
- Gastroenterology
- Internal Medicine
Background:
- Maintenance hemodialysis is a life-sustaining treatment for end-stage renal disease.
- Ascites, the accumulation of fluid in the abdomen, can be a complex complication in patients with kidney failure.
Observation:
- Six patients undergoing maintenance hemodialysis presented with ascites while being anephric (lacking kidneys).
- No identifiable cause for the ascites was determined in these patients.
Findings:
- The ascites observed was presumed to be "hemodialysis ascites," a condition linked to the dialysis process itself.
- The study challenges the established treatment approach for hemodialysis ascites.
Implications:
- The findings suggest a need to reconsider the necessity and efficacy of bilateral nephrectomy in managing hemodialysis ascites.
- Further research is warranted to explore alternative or refined treatment strategies for this specific patient population.