NEPHROGENIC ASCITES CURED BY PERSISTENT ULTRAFILTRATION : CASE REPORT

Volume: 41 Number: 1 March 1, 2002
  • Ali Çelik
  • Yavuz Yeniçerioğlu
  • Caner Çavdar
  • Aykut Si Fil
  • Ümit Tekin
  • Rıfkı Ersoy
  • Taner Çamsarı
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NEPHROGENIC ASCITES CURED BY PERSISTENT ULTRAFILTRATION : CASE REPORT

Abstract

Treatment of nephrogenic ascites is a challenge. We report a patient with nephrogenic ascites successfully treated by persistent ultrafiltration. Fifty-six year old male on hemodialysis presented with complaints of fatigue, loss of appetite and abdominal distension. The work up for etiology revealed the diagnosis of nephrogenic ascites. On diagnosis, salt restricted diet was prescribed and hemodialysis schedule was changed to 4 times a week, 5-6 hours per each vvith controlled ultrafiltration. Throughout 4 weeks of hospitalization, 10 liters of fluid was removed by means of paracentesis (2 liters) and ultrafiltration (8 liters) and his body weight decreased to 58 kg from 68 kg. Meanwhile his ascites regressed and his appetite and fatigue improved. Diameters of cardiac chambers, pulmonary artery pressure were decreased and cardiac valvular regurgitations were regressed. Although hemodialysis is to treat nephrogenic ascites, data reporting successful results are accumulating. As here, nephrogenic ascites can be cured by strict salt restriction, effective dialysis and persistent ultrafiltration in contrary to general belief. To increase the duration and frequency of hemodialysis and/or ultrafiltration other than to increase ultrafiltration rather, strict salt restriction and patience are the key issues in treatment.

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Primary Language

Turkish

Subjects

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Journal Section

-

Authors

Ali Çelik

Yavuz Yeniçerioğlu

Caner Çavdar

Aykut Si Fil

Ümit Tekin

Rıfkı Ersoy

Taner Çamsarı

Publication Date

March 1, 2002

Submission Date

March 1, 2002

Acceptance Date

-

Published in Issue

Year 2002 Volume: 41 Number: 1

IZ

https://izlik.org/JA93KJ48DD

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RIS / Bibtex
Vancouver
1.Ali Çelik, Yavuz Yeniçerioğlu, Caner Çavdar, Aykut Si Fil, Ümit Tekin, Rıfkı Ersoy, Taner Çamsarı. PERSİSTAN ULTRAFİLTRASYON İLE TEDAVİ EDİLEN NEFROJENİK ASİT: OLGU SUNUMU. EJM [Internet]. 2002 Mar. 1;41(1):33-6. Available from: https://izlik.org/JA93KJ48DD

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