Control of Cachexia and Ascites During Chronic Hemodialysis by Bilateral Nephrectomy.

Abstract

Meeting Abstracts1 May 1973Control of Cachexia and Ascites During Chronic Hemodialysis by Bilateral Nephrectomy.L. N. Feingold, M.D., F. X. Walsh, M.D., R. A. Gutman, M.D., F.A.C.P., J. C. Gunnells, M.D., F.A.C.P., R. R. Robinson, M.D., F.A.C.P.L. N. Feingold, M.D.Search for more papers by this author, F. X. Walsh, M.D.Search for more papers by this author, R. A. Gutman, M.D., F.A.C.P.Search for more papers by this author, J. C. Gunnells, M.D., F.A.C.P.Search for more papers by this author, R. R. Robinson, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-78-5-829_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptNine patients on repetitive hemodialysis have died after the appearance of progressive cachexia, loss of lean body mass, and ascites of uncertain cause. All patients had hypertension that responded poorly to control of extracellular fluid volume and drugs. Five patients had a long-standing history of severe hypertension prior to dialysis. Cardiac catheterization in two patients, peritoneal membrane biopsy in two, estimates of gastrointestinal protein loss in three, measurements of protein concentration in ascitic fluid (1 to 6 g/100 ml), and postmortem examination in six, showed no explanation for either ascites or cachexia. Peritoneal infection during antecedent peritoneal dialysis had occurred... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Durham, North Carolina. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1973Volume 78, Issue 5Page: 829-829KeywordsAscitesBiopsyCatheterizationDrug regulationDrugsHypertensionMedical dialysisMembrane proteinsNephrectomyPeritoneal dialysis Issue Published: 1 May 1973 PDF DownloadLoading ...