Clinical and bacteriological examinations performed in 138 patients with chronic renal failure (CRF) have found in the majority of late-stage examinees endogenic chronic colitis (ECC). This should be taken into consideration when prescribing repeat enteroclysis for correction of some uremia symptoms. Etiologically, ECC may be due to intestinal dysbacteriosis.
Enterosorbents were tried clinically in 90 patients with chronic renal failure and in vitro (immersion into gastric juice, enteral and colon content). Advantages of granulated carbone sorbents over polyphepan, lignin derivative, were evident.
Clinical and bacteriological examinations performed in 138 patients with chronic renal failure (CRF) have found in the majority of late-stage examinees endogenic chronic colitis (ECC). This should be taken into consideration when prescribing repeat enteroclysis for correction of some uremia symptoms. Etiologically, ECC may be due to intestinal dysbacteriosis.
Enterosorbents were tried clinically in 90 patients with chronic renal failure and in vitro (immersion into gastric juice, enteral and colon content). Advantages of granulated carbone sorbents over polyphepan, lignin derivative, were evident.
The authors analyze pilot experience with clinical introduction of intestinal dialysis in 7 uremic patients. Repeated sessions of the dialysis relieved some symptoms of uremic intoxication. The method may be of value in contraindications to chronic hemodialysis for chronic renal failure. The technique is easily performed and well tolerated by the patients. The investigations should be continued.
Two groups of patients with chronic renal failure (CRF) underwent chronic hemodialysis within 1976-1990. Acute ulcerogenic situation in them arose during month 1-3 of the treatment. Formation of ulcers was closely related to the acid-peptic factor. Hemodialysis procedure was found to contribute to ulcerogenesis, chronic hemodialysis being somewhat an iatrogenic risk factor in such patients. Modern policy of managing duodenal ulcers in hemodialysis patients is discussed.
The authors analyze pilot experience with clinical introduction of intestinal dialysis in 7 uremic patients. Repeated sessions of the dialysis relieved some symptoms of uremic intoxication. The method may be of value in contraindications to chronic hemodialysis for chronic renal failure. The technique is easily performed and well tolerated by the patients. The investigations should be continued.
Two groups of patients with chronic renal failure (CRF) underwent chronic hemodialysis within 1976-1990. Acute ulcerogenic situation in them arose during month 1-3 of the treatment. Formation of ulcers was closely related to the acid-peptic factor. Hemodialysis procedure was found to contribute to ulcerogenesis, chronic hemodialysis being somewhat an iatrogenic risk factor in such patients. Modern policy of managing duodenal ulcers in hemodialysis patients is discussed.
The therapeutic efficacy of the continuous 6-week application of the enterosorbents CKH-4M and CKT-6A was traced in 64 patients with chronic renal diseases and different stages of chronic renal failure (CRF). The treatment was established to be most effective in the early stages of CRF. The morphologically verified manifest nephrogenic gastropathy was often associated with lack of the therapeutic effect and deterioration of the clinicolaboratory characteristics. Enterosorption brought about a decrease of ammonia concentration in gastric juice coupled with a positive time-course of changes in dyspeptic disorders in such patients.
The therapeutic efficacy of the continuous 6-week application of the enterosorbents CKH-4M and CKT-6A was traced in 64 patients with chronic renal diseases and different stages of chronic renal failure (CRF). The treatment was established to be most effective in the early stages of CRF. The morphologically verified manifest nephrogenic gastropathy was often associated with lack of the therapeutic effect and deterioration of the clinico-laboratory characteristics. Enterosorption brought about a decrease of ammonia concentration in gastric juice coupled with a positive time course of changes in dyspeptic disorders in such patients.
As a result of clinical and experimental observations the authors have established that even at the early stages of the nephrotic syndrome there occur myocardial lesions determined by concomitant impairment of microcirculation and metabolism leading to the development of nephrotic cardiomyopathy. The appearance of the nephrotic syndrome may be accompanied by the development of hydrothorax and more seldom, primarily in acute glomerulonephritis, by nephrogenous edema of the lungs. The nephrotic syndrome does not exert any material effect on the changes in external respiratory function, common to glomerulonephritis. Nephrotic gastropathy is of total character with low magnitudes of acid secretion and intragastric proteolysis. This does not create any conditions for acid-peptic damage to the gastroduodenal mucosa attended by ulcer formation.
Gastric secretory and excretory parameters and serum gastrin levels were assessed in 66 patients with chronic glomerulonephritis (CGN) with intact renal activity and those with chronic renal failure (CRF) of varying severity. Gastrin has been shown to participate in acidogenesis control, while proteolytic activity of the gastric content was not dependent on the blood level of this digestive hormone. The administration of pentagastrin stimulated active gastric juice excretion of nitrite residue that can be used for curative purposes.
Analysis of specific features of stomach pathology in 174 patients with various clinical manifestations of chronic glomerulonephritis has demonstrated peculiar nephrogenous gastropathy in these patients. Clinical assessment of the secretion-excretion relationship was carried out in patients with intact renal function and chronic renal insufficiency of various degree of manifestation.
