What is it about?
Here, a new modality of intestinal dialysis using Polyethylene Glycol was tried to tackle three problems; achieve weight loss during inter-dialytic period, try to reduce the thirst by the act of drinking and achieve additional clearance of metabolic parameters before Hemodialysis in return solve constipation issue.
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Why is it important?
High Inter Dialytic Weight Gain and Hyperkalemia have been associated with high morbidity and mortality in Hemodialysis patients. Thirst in Hemodialysis patients continues to remain an unsolved problem leading to high Inter Dialytic Weight Gain.
Perspectives
We found that this type of intestinal dialysis achieves a weight loss without any adverse effects but had no effect on thirst sensation and is a potent treatment for hyperkalemia. The above study can cause a paradigm shift in Hemodialysis patients in terms of safely achieving significant mortality benefit and be cost effective in the long run.
Puneet Bhuwania
Nanavati max hospital, Mumbai
Read the Original
This page is a summary of: Effect of intestinal dialysis using polyethylene glycol on fluid balance and thirst in maintenance hemodialysis patients: A comparative study, Therapeutic Apheresis and Dialysis, July 2021, Wiley,
DOI: 10.1111/1744-9987.13707.
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