Abstract
Once kidney function replacement has been started, dietary therapy must be completely changed when compared with that for patients on conservative treatment. Patients on maintenance hemodialysis (MHD) have to face new problems related to oliguria-anuria (which appear quite early) loss of AAs with dialysate, poor removal of Pi, the catabolic effect of hemodialysis itself, and all the other side effects of hemodialysis, which are probably connected to some extent with the poor biocompatibility of the extracorporeal compartment materials. For patients on continuous ambulatory peritoneal dialysis (CAPD), there are additional problems related to the absorption of glucose from dialysate, the not uncommon complication of peritonitis, and protein loss that may reach very high values when this complication appears.
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References
Borah MF, Schoenfeld PY, Gotch FA, Sargent FJA, Wolson M, Humphreys MH: (1978) Nitrogen balance during intermittent dialysis therapy of uremia. Kidney Int 14:491–500.
Giovannetti S, Bigalli A, Delia Santa M: (1957) Gli effetti dell’acidosi sperimentale nel metabolismo proteico 48:4206–4209.
May RC, Kelly Ra, Mitch WE: (1986) Metabolic acidosis stimulates protein degradation in rat muscle by a glucocorticoid-dependent mechanism. J Clin Invest 77:614–621.
Potter ED, Greifer I: (1978) Statural growth of children with renal disease. Kidney Int 14:334–339.
Thinberg BJ, Suzamy AP, Cestero RVM: (1981) Cross-sectional and longitudinal nutritional measurements in maintence hemodialysis patients. Am J Clin Nutr 34:2005–2012.
Monteon FJ, Landaw SA, Shaib JK, Kopple JD: (1986) Energy expenditure in patients with chronic renal failure Kidney Int 30:741–747.
Barsotti G, Lazzeri M, Cristofano C, Cerri M, Lupetti S, Giovannetti S: (1986) The role of metabolic acidosis in causing uremic hyperphosphatemia. Min Electr Metab 12:103–106.
Slatopolski E, Weerts C, Lopez-Hilker S, Norwood K, Zink M, Windus D, Delmez J: (1986) Calcium carbonate as a phosphate binder in patients with chronic renal failure undergoing dialysis. N Engl J Med 315:157–161.
Martinez-Vea A, Gargia C, Oliver JA, Gaya OJ, Rivera F, Richart C: (1987) Abnormalities in thirst regulation in patients with chronic renal failure on hemodialysis (abstr). Kidney Int 32:620.
Blumenkrantz MJ, Gahl GM, Kopple JD, Kamdar AV, Jones MR, Kessel M, Coburn JW: (1981) Protein losses during peritoneal dialysis. Kidney Int 19:593–602.
Katirtzoglou A, Oreopoulos DG, Husdan H, Leung M, Ogilvie R, Dombros M: (1980) Reappraisal of protein losses in patients undergoing continuous ambulatory peritoneal dialysis. Nephron 26:230–233.
Giordano C, De Santo NG, Capodicasa G, Di Leo VA, Di Serafino A, Cirillo D, Esposito R, Fiore R, Buonadonna L, Cocco F, Di lorio B: (1980) Amino acid losses during CAPD. Clin Nephrol 14:230–232.
Carmody M, O’Dweyer WF, Walsh A: (1964) A comparison of peritoneal and haemodialysis. Proc Eur Dial Transpl Ass 1:191–198.
Oreopoulos DG, Balfe JW, Khanna R: (1981) Further experience with the use of amino acid containing dialysate (aminodianeal) in peritoneal dialysis. In: Moncrieff JW, Popovich RP (eds) CAPD Update. New York: Masson, p 109.
Kobayashi K, Tadatomi M, Hiramatsu S, Maeda K, Uemura J: (1979) Nitrogen metabolism in peritoneal dialysis. In: Today’s Art of Peritoneal Dialysis. Chapala Meeting June 25–28, 1978. Basel: S. Karger p 93.
Leleio NS, Bronstein A, Murphy J, Fox J, Udall J, Susskind R: (1977) Intraperitoneal admin istration of aminoacids. J Parent Ent Nutr 1:144–152.
Bergström J, Furst -P, et al.: (1978) Intracellular free aminoacids in muscle tissue of patients with chronic uremia. Effect of peritoneal dialysis and infusion of essential aminoacids. Clin Sci and Mol Med 54:51–60.
Grodstein GP, Blumenkrautz MJ, Kopple JD, Moran JK, Coburn JK: (1981) Glucose absorption during continuous ambulatory peritoneal dialysis. Kidney Int 19:564–567.
Cattran DC, Frenton SSA, Wilson DR: (1976) Defective triglyceride removal in lipemia associated with peritoneal and hemodialysis. Ann Int Med 85:29–33.
Nold JM, Kellman B, Jaboz O, Oreopoulos DG: (1980) The dietary treatment of patients on CAPD: Practical aspects. In: Proc Inter Symp on CAPD, Paris, Nov. 2–3, 1979. Excerpta Medica, p 207.
Khanna R, Oreopoulos DG: (1984) Peritoneal dialysis. In: Suk WN, Massry SG (eds) Therapy of Renal Disease. Boston: Martinus Nijhoff Publishing, p 524.
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© 1989 Kluwer Academic Publishers, Boston
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Gentile, M.G., Schmicker, R., Giovannetti, S. (1989). Nutritional Treatment for Patients on Standard Kidney Function Replacement. In: Giovannetti, S. (eds) Nutritional Treatment of Chronic Renal Failure. Topics in Renal Medicine, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1583-4_32
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DOI: https://doi.org/10.1007/978-1-4613-1583-4_32
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