scholarly journals PREVALANCE, ENDOSCOPIC AND HISTOPATHOLOGICAL FEATURES OF HELICOBACTER PYLORI (H.PYLORI) INFECTION IN CHRONIC KIDNEY DISEASE (CKD) / END STAGE RENAL DISEASE (ESRD) VERSUS NORMAL POPULATION AT A TERTIARY CARE CENTER IN NORTH INDIA: A CASE CONTROL HOSPITAL BASED STUDY.

2016 ◽  
Vol 4 (11) ◽  
pp. 1902-1907
Author(s):  
Mohd.Tahir Ganaye ◽  
◽  
SheikhJan M. ◽  
MohammadAltaf Ganaye ◽  
Samiera Hassan ◽  
...  
2009 ◽  
Vol 48 (174) ◽  
pp. 126-30 ◽  
Author(s):  
Sudha Khakurel ◽  
Rajendra Kumar Agrawal ◽  
Rajani Hada

Introduction: End Stage renal disease (ESRD) is a major public health problem across the world and it is rising. The incidence prevalence and causes of ESRD is not known in Nepal. With a population of 27 million people the estimated incidence of ESRD is around 2700/year if we take 100/million population at par with India and Pakistan. However majority of patients do not reach hospitals with dialysis facilities. The aim of the present study was to analyze the clinico-epidemiological profile of ESRD in the Nepalese context. Methods: A retrospective, cross sectional study was conducted on newly diagnosed ESRD patients within fi ve years in a tertiary care center. Their demographic profi le, etiology and follow up were studied.Results: The mean age of the patients was 42 years, male to female ratio being 1.7:1. Chronic glomerulonephritis (41%) was the leading cause of ESRD, followed by diabetic nephropathy (16.8%) and hypertensive nephrosclerosis (13.7%). Unexplained renal failure constituted 18% of our cases. Intermittent peritoneal dialysis (IPD) remained the initial mode of therapy due to easy accessibility. Most of the patients dropped out after having single session of IPD. Others went for repeat sessions of IPD or haemodialysis. Out of the 23.6% who went for haemodialysis only 13% could continue dialysis for more than three months and 3.8% could go to neighboring country for renal transplantation.Conclusions: CGN is the leading cause of ESRD followed by diabetic nephropathy and hypertension. It affected younger age group people. ESRD treatment is costly and unaffordable by most Nepalese people. Stress should be given to the health education and screening programme for prevention and early detection of CKD.Key Words: end stage renal disease, intermittent peritoneal dialysis, Nepal


Meta Gene ◽  
2021 ◽  
pp. 100915
Author(s):  
Dalia M. Abd EL-Hassib ◽  
Magda A. Zidan ◽  
Medhat M. El Amawy ◽  
Hind A. Hegazy ◽  
Seham Gouda Ameen

2019 ◽  
Vol 20 (6) ◽  
pp. 615-620
Author(s):  
Narayan Prasad ◽  
Venkatesh Thammishetti ◽  
DS Bhadauria ◽  
Anupama Kaul ◽  
RK Sharma ◽  
...  

Introduction: Arteriovenous fistula is considered as gold standard access for maintenance hemodialysis. Due to increasing burden of end-stage renal disease requiring dialysis, it is important for nephrologists to complement creation of arteriovenous fistula to meet the demand. Methods: This retrospective study was designed to assess the outcomes of arteriovenous fistula made by nephrologists at a tertiary care center from North India. The study included all radiocephalic arteriovenous fistula performed by nephrologists between November 2015 and January 2017. All arteriovenous fistulas were performed in patients whose duplex ultrasonography revealed both arterial and venous diameter of at least 2 mm. Data were collected with regard to age, gender, dialysis status, basic diseases, co-morbidities, and mineral bone disease parameters. The predictors of the primary and secondary patency rates were analyzed. Results: Five hundred patients (age 39.3 ± 14.4 years; 82.4% males; 21.6% diabetics) were included. In total, 83 (16.6%) patients had primary failure and 31 (7%) patients had secondary failure. Diabetes was associated with poor primary and secondary patency rates. Mean survival among the patients without primary failure was 11 months. The primary patency rates at 3, 6, 12, 18, and 21 months were 82%, 78%, 73%, 70%, and 70%, respectively. Conclusion: To conclude, the outcomes of radiocephalic arteriovenous fistulas created by nephrologists are at par with historic outcomes.


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