An Official Publication of Society Of Renal Nutrition And Metabolism (JRNM) Vol. 1, No. 3, July - September 2015
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Table Of Content
     
 
The Editorial Board
iii
Editorial
vii
     
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EDITORIAL
       
 
Preventing Protein Energy Wasting In Patients On Maintenance Dialysis
115

Uremic malnutrition, renal cachexia or protein-energy wasting” (PEW), are strongest risk factor for adverse outcomes, hospitalization and death in patients on maintenance. Protein energy wasting most likely sets in chronic kidney disease (CKD) stage 3 (GFR<60ml/minute) or even earlier, which causes spontaneous diminished dietary protein and energy intake.

By: Anita Saxena

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REVIEW ARTICLE
       
Intradialytic Parenteral Nutrition (IDPN):An Evidence Based Review
117

It is estimated that 40-50% of patients on dialysis are malnourished and 10% of these patients are severely malnourished1. Protein-energy malnutrition (PEM) is one of the strongest predictors of mortality and morbidity2.The causes of PEM in end-stage renal disease (ESRD) patients on regular thrice weekly chronic dialysis are numerous: inadequate food intake; catabolic response to intercurrent illnesses; dialysis procedure; chronic inflammation with hyper catabolism and anorexia; blood loss; endocrine disorders of uremia; socioeconomic factors, and mobility limitations.

By: Tze Chin Tan MD, MRCP, Roy Debajyoti MD, FRCP

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ORIGINAL ARTICLE
       
  Randomized, Controlled, Trial on Effect of Intradialytic Parentral Nutrition (IDPN) on Malnourished Dialysis Dependent Patients
121
 

Poor nutritional status and muscle wasting , common in Indian patients with ESRD, is associated with increased morbidity and mortality. Intradialytic parenteral nutrition (IDPN) is a widely used nutritional support for correcting hypercatabolic state leading to protein-energy wasting in hemodialysis patients. A number of reports have emphasized the effectiveness of intradialytic parenteral nutrition (IDPN).

By: Dr Anita Saxena, Dr RK Sharma, Dr Amit Gupta

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PROTOCOL
       
  Approach To Post Renal Transplant Management
128 -131
 

Renal transplantation is the treatment of choice for ESRD patients. The available infrastructure at Transplant centres cannot meet the growth in volume of transplant patients. Primary physicians play a pivotal role in prevention of morbidity & mortality by timely and appropriate management of these patients.

By: Amit Gupta

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CASE REPORT
       
 
Managing Malnutrition in Peritonitis
132 -135

This is a case of 56 years old male, a known case of chronic kidney disease (CKD) since 2010 . He had diabetes mellitus (DM) for 15 years, diabetic retinopathy (DR), diabetic kidney disease (DKD), normal sized kidney and (hypertension) since 2009. Since 2010 patient had drop in urine output with rising creatinine coupled with vomiting and anorexia. His appetite worsened progressively and was moderately malnourished.

By: Dr Anita Saxena, Dr Amit Gupta, Dr Medhavi Gautam, Dr Manas Ranjan Behera

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FROM EDITOR'S DESK
       
 

SRNM Self Assessment Programme

Test your understanding of renal nutrition through questions given below. Scorecard is given below the answers given at the end.

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136 -148
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