Optimal Treatment Strategies for End Stage Renal Failure

Author: Claude Jacobs
Published: July 2002
ISBN: 0192629719
Hardcover Book
Number of Pages: 320

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During the past 40 years there have been major conceptual and technical advances in the domain of dialysis methods and renal/organ transplantation for long-term treatment of patients with End-Stage Renal Failure (ESRF). This now enables better defined, more selective strategies of treatment to be undertaken, according to patient-specific criteria such as age or underlying renal disease also taking into account the lifetime duration of these treatments. For many patients this implies necessary successive changes of mode of therapy depending on their availability, occurrence of medical/technical complications or failure and social environment and economic factors. This rationale has inspired the structure of this volume which is divided into four sections: 1/A descriptive overview of the various modes of renal replacement therapy (RRT): Extracorporeal dialysis/filtration, peritoneal dialysis, kidney and multi-organ transplantation. 2/Most appropriate indications and use of these methods, respective advantages, drawbacks and outcome in children, pregnant women and elderly patients. 3/ In diabetic patients and in patients with heredity/congenital diseases.4/ The ethical issues generated by this new domain in Medicine by limitations in treatment facilities or medical dilemas for acceptance, best technical choices, withdrawal or termination of RRT in individual patients. Finally, contributors from Eastern European Coutnries, Africa and Far Eastern Countries analyse the current status of RRT in their respective geographical area and the ways and means required for a wider implementation of RRT in thus far lesser economically developed countries where the great majority of the populationsstill have no access to these life-saving therapeutic procedures.

Table of Contents:

Contributors
1 Extra-corporeal renal replacement therapies 1
2 Peritoneal dialysis methods 33
3 Kidney transplantation 61
4 Multi-organ transplantation 93
5 Optimal care of the pediatric patients with end-stage renal disease 109
6 Pregnancy in women on renal replacement therapy 129
7 Optimal renal replacement therapy in elderly patients 147
8 Renal replacement therapy in diabetic patients with end-stage renal disease 175
9 Treatment of patients with hereditary and congenital disorders 205
10 Ethical conflicts in renal replacement therapies 229
11 Treatment strategies for end-stage renal failure in developing countries 257
Index 303

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