title: Efficacy of crushed lanthanum carbonate for hyperphosphatemia in hemodialysis patients undergoing tube feeding.
abstract: Lanthanum carbonate (LaC) is a non-calcium-based phosphate binder used to treat hyperphosphatemia in patients with chronic kidney disease. Oral administration of LaC is difficult in patients undergoing tube feeding or those who are of advanced age because it is essential to chew the LaC tablet sufficiently before swallowing it. We report two cases in whom crushed LaC was used in hemodialysis patients undergoing tube feeding. In both cases, previously crushed LaC was mixed into enteral nutrients. We found that LaC administered this way was effective for decreasing serum phosphorus levels.
authors.affiliation: Depertment of Nutrition and Health Promotion, Hiroshima Jogakuin University, Hiroshima, Japan ; Sato Junkanki Hospital, Matsuyama, Japan.
authors.forename: Yukie
authors.initials: Y
authors.lastname: Kitajima
authors.affiliation: Sato Junkanki Hospital, Matsuyama, Japan.
authors.forename: Taeko
authors.initials: T
authors.lastname: Takahashi
authors.affiliation: Sato Junkanki Hospital, Matsuyama, Japan.
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Sato
authors.affiliation: Department of Nutrition and Metabolism Institute of Health Bioscieneces, the University of Tokushima Graduate School, Tokushima, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nakaya
keywords: hyperphosphatemia; lanthanum carbonate; phosphate binder