[Physiopathological and nutritional changes in hemodialysis patients and in those who have undergone renal transplantation].
The paper examines the complex metabolic behaviour of patients undergoing hemodialysis and renal transplantation. It underlines the importance of the metabolic and nutritional status of these patients since inadequate nutritional therapy may result in the failure of hemodialysis and/or surgery. Given the complexity of the metabolic syndrome and its bronchopulmonary, cardiovascular and septic complications, it is necessary to monitor the various chemical and clinical parameters in these patients in order to guarantee an optimal recovery and satisfactory survival rate. Fortunately today, by replacing the use of Azathioprine, Cyclosporin--irrespective of its collateral and/or secondary effects--has replaced the use of corticosteroids whose immunodepressive action made it obligatory to start simultaneous prophylactic antibiotic treatment and/or chemotherapy in order to avoid the development of other chance disease. The paper also reports the findings of a retrospective study (1976-1986) which evaluated various physiopathological and metabolic parameters and compared them to data reported in the literature.
Pace
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Istituto di Fisiologia Generale, Università degli Studi di Roma La Sapienza.
Artico
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M
Bonanni
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Ciccariello
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Sagliaschi
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G
D003131:Combined Modality Therapy; D004035:Diet Therapy / Q000009:adverse effects; D005938:Glucocorticoids / Q000009:adverse effects; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D007239:Infections / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000150:complications / Q000378:metabolism* / Q000503:physiopathology / Q000628:therapy; D016030:Kidney Transplantation / Q000009:adverse effects; D008991:Monitoring, Physiologic; D009748:Nutrition Disorders / Q000209:etiology* / Q000517:prevention & control; D009752:Nutritional Status; D011300:Preoperative Care; D006435:Renal Dialysis / Q000009:adverse effects; D012189:Retrospective Studies; D014511:Uremia / Q000378:metabolism
D005938:Glucocorticoids; D007166:Immunosuppressive Agents
Le alterazioni fisiopatologiche e nutrizionali nei soggetti emodializzati ed in quelli sottoposti a trapianto renale.