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A 57-year-old woman with morbid obesity (body mass index 41.6), diabetes mellitus, hypertension and obstructive sleep apnea sought bariatric surgery for weight loss. Her pre-operative serum creatinine was 1.0 mg/dL (88.4 μmol/L), and she had no history of renal calculi. She underwent laparoscopic Roux-en-Y gastric bypass surgery with a 75-cm Roux limb. Post-operatively, she was non-adherent wit...

To assess cardiac status in end-stage renal disease, we compared clinical, ECG, and echocardiographic data from 37 patients on maintenance hemodialysis with data from 42 patients with functioning renal transplants. Cardiovascular symptoms and abnormal cardiovascular findings were more common in dialysis-maintained patients than in those with transplants. Follow-up studies indicated that despite...

(Cheat 1991; 99:1010-11) T he patient is a 63-year-old woman with end-stage renal failure due to analgesic nephropathy. This was diagnosed in January, 1986 during treatment for high grade lymphoma (parotidectomy and chemotherapy). In July, 1987 the serum creatinine level reached 915 micromolfL. A Tenckoffcatheter was inserted and continuous ambulatory peritoneal dialysis (CAPD) was started at a...

We found the prevalence of MetS in PD patients was 73%. Young et al. showed the prevalence of MetS between dialysis patients was 69.3% which had no signifi cant diff erence comparing general population.[4] Previous studies demonstrated that MetS is higher in PD.[5] We also found that the presence of MetS in PD is high. It might be due to absorption of PD fl uid’s glucose and subsequent hypergly...

The aim of the study was to analyse and compare the most frequent clinical oral symptoms, signs and lesions at end-stage renal disease (ESRD), before kidney transplantation (BKT) and after kidney transplantation (AKT). A total of 35 subjects with ESRD were included, 19 in group A (BKT) and 16 in group B (AKT). Oral lesions were classified according to referent clinical diagnostic criteria: Seru...

Ischemic complications presenting as digital gangrene occurring in a patient of end-stage renal disease undergoing haemodialysis is rarely reported in literature. We report one such case of dry gangrene of a single finger in a 53 years old male undergoing haemodialysis. The condition was likely a steal phenomenon secondary to the surgical angioaccess for dialysis.

Examination of the skin and nails can reveal many abnormalities in patients with end-stage renal disease that precede or follow initiation of dialysis treatment or kidney transplantation. This article focuses on specific and nonspecific cutaneous signs of end-stage renal disease, reviewing both banal and life-threatening conditions, including pruritus, perforating disorders, calcifying disorder...

Perhaps no other Federal Government program can lay claim to have saved as many lives as the Medicare end stage renal disease (ESRD) program. Since its inception in 1973, as a result of the Social Security Amendments of 1972 (Public Law 92-603, section 299I), over 1 million persons have received life-saving renal replacement therapy under this program. Prior to the enactment of this legislation...

Calciphylaxis, better described as "Calcific uremic arteriolopathy" (CUA), involves about 1-4% of hemodialysis patients all around the world with high mortality rates. We describe a rare clinical case of CUA in peritoneal dialysis patient associated with urological disease. Penile calciphylaxis represents rare clinical complication, and an early diagnosis and multidisciplinary approach are requ...