Treating the Obese Dialysis Patient: Challenges and Paradoxes

被引：10

作者：

Celebi-Onder, Songul ^{[1
]}

Schmidt, Rebecca J. ^{[1
]}

Holley, Jean L. ^{[2
]}

机构：

[1] W Virginia Univ Hosp, Dept Med, Nephrol Sect, Morgantown, WV USA

[2] Univ Illinois, Dept Med, Nephrol Sect, Urbana, IL 61801 USA

来源：

SEMINARS IN DIALYSIS | 2012年 / 25卷 / 03期

关键词：

BODY-MASS INDEX; STAGE RENAL-DISEASE; Y GASTRIC BYPASS; MAINTENANCE HEMODIALYSIS-PATIENTS; AUTOGENOUS VASCULAR ACCESS; LARGE-BREASTED INDIVIDUALS; ACUTE OXALATE NEPHROPATHY; CORONARY-ARTERY-DISEASE; CATHETER TIP MIGRATION; SHORT-TERM SURVIVAL;

D O I：

10.1111/j.1525-139X.2011.01017.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Obesity is a major epidemic in the general population and has added unique challenges to renal replacement therapy as choice of access, dialysis adequacy, and preparation for kidney transplantation may all be affected. There are few clinical studies on managing obese patients with end-stage renal disease (ESRD) and no accepted strategies for the variety of problems encountered in this population. Attempts at weight loss are generally advisable to prevent obesity-related surgical complications and improve patient and graft survival after kidney transplantation. This article reviews the unique aspects of managing obese patients with ESRD.

引用

页码：311 / 319

页数：9

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