scholarly journals Control of the size of simple kidney cysts by a combination of dietician supplement

KIDNEYS ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 150-155
Author(s):  
D.D. Ivanov

The effectiveness of the dietary supplement Aneza is presented with a practical approach. Aneza is positioned to control the size of simple kidney cysts. The author considers the properties of dietary supplements, which became the basis for a 6-month initiative study EFFECTIVENESS OF ANESA IN SIMPLE KIDNEY CYSTS (ETAP). The POEM study design was based on evidence-based practice and was conducted as an open prospective rando­mized in one group free of charge in 60 people aged 30 to 65 years with a diagnosed cyst I–II according to Bosniak. Exclusion criteria were as follows: invasive urological history, renal failure (chronic kidney disease stage 3 and above). The average decrease in the vo­lume of the cyst on the background of receiving Aneza in the right kidney was minus 46.5 %, in the left — minus 39.9 %, on average minus 42.9 % (P ≤ 0.01). The best dynamics of cyst volume reduction was observed in women older than 40 years — 66.8 % vs. 52.5 % up to 40 years: (t = 0.97), and in men up to 40 years old: 27.1 % vs. 30.5 % (t = 0.29). The study confirms the effectiveness of Aneza in people with simple kidney cysts and, in the author’s opi­nion, a dietary supplement can be recommended as an additional means of controlling the growth of kidney cysts I–II according to Bosniak.

2019 ◽  
Vol 7 (2) ◽  
pp. e000753
Author(s):  
Evelyn Heier ◽  
Christine Urban ◽  
Ahmed Abdellatif ◽  
Cetina Thiel ◽  
Reto Neiger

A 21-month-old entire female labrador retriever was presented for polyuria, pollakiuria, haematuria and intermittent urinary incontinence. Clinical signs were absent during antibiotic treatment but reoccurred shortly after completion of a treatment course. Investigations detected bilaterally dilated ureters, right renal hypoplasia, left extramural ectopic ureter and right intramural ectopic ureter forming an ureterocoele. Blood tests revealed moderate renal azotaemia. 99mTc-DMSA (technetium-99m-dimercaptosuccinic acid) scintigraphy was used to quantify individual kidney function to carefully consider nephrectomy. The right kidney contributed to less than 2 per cent of the total kidney function. Individual kidney function assessed by 99mTc-DMSA scintigraphy was compared with CT-based renal parenchyma volume as an equivalent to kidney function. In this case both diagnostic imaging techniques resulted in similar individual kidney function percentages. A right-sided nephroureterectomy and a left-sided neoureterocystostomy were performed. Surgical treatment successfully resolved the clinical signs. After surgery the dog’s chronic kidney disease remained stable at International Renal Interest Society chronic kidney disease stage 3.


2019 ◽  
pp. 2-3

Impaired phosphate excretion by the kidney leads to Hyperphosphatemia. It is an independent predictor of cardiovascular disease and mortality in patients with advanced chronic kidney disease (stage 4 and 5) particularly in case of dialysis. Phosphate retention develops early in chronic kidney disease (CKD) due to the reduction in the filtered phosphate load. Overt hyperphosphatemia develops when the estimated glomerular filtration rate (eGFR) falls below 25 to 40 mL/min/1.73 m2. Hyperphosphatemia is typically managed with oral phosphate binders in conjunction with dietary phosphate restriction. These drugs aim to decrease serum phosphate by binding ingested phosphorus in the gastrointestinal tract and its transformation to non-absorbable complexes [1].


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1049-P
Author(s):  
ELVIRA GOSMANOVA ◽  
DARREN E. GEMOETS ◽  
LAURENCE S. KAMINSKY ◽  
CSABA P. KOVESDY ◽  
AIDAR R. GOSMANOV

2020 ◽  
Vol 24 (1) ◽  
pp. 60-66
Author(s):  
I. V. Lavrishcheva ◽  
A. Sh. Rumyantsev ◽  
M. V. Zakharov ◽  
N. N. Kulaeva ◽  
V. M. Somova

BACKGROUND. The lack of data on the epidemiology of presarcopenia/sarcopenia leads to an underestimation of the role of this condition in the structure of morbidity and mortality of haemodialysis patients in theRussian Federation. THE AIM: to study the epidemiological aspects of presarcopenia /sarcopenia in patients with chronic kidney disease stage 5d. PATIENTS AND METHODS. This study comprised 317 patients receiving programmed bicarbonate haemodialysis for 8.2 ± 5.1 years, among them 171 women and 146 men, the average age was 57.1 ± 11.3 years. The assessment of the presence of sarcopenia was performed using the method recommended by the European Working Group on Sarcopenia in Older People. RESULTS. The prevalence of presarcopenia was 0.7 % and sarcopenia 29.6 %. The incidence of skeletal muscle mass deficiency according to muscle mass index (IMM) was 30.3 %, 48.7 % showed a decrease in muscle strength according to dynamometry, and low performance of skeletal muscles according to 6 minute walk test was determined in 42.8 %. Sarcopenia patients were significantly characterized by lower body mass index, as well as higher body fat mass values. The duration of haemodialysis (χ2 = 22.376, p = 0.0001) and the patient's age (χ2 = 10.545 p = 0.014) were an independent risk factors for the development of sarcopenia. CONCLUSION. Sarcopenia is recorded more frequently in hemodialysis patients than presarcopenia. Its prevalence increases among patients of older age groups and with a hemodialysis duration of more than 5 years. The age and experience of dialysis make their independent contribution to the development of this syndrome.


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