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End-Stage Renal Disease Requiring Dialysis Access

The deterioration of kidney function, or renal disease, remains a major medical problem throughout the world. High blood pressure and diabetes adversely affect the kidney. Initial renal disease is often asymptomatic, but it can easily progress to end-stage renal disease requiring dialysis. Patients undergoing dialysis need an arteriovenous or peritoneal access placed. These access shunts can become clotted and at times need revision or thrombectomy.

Definition of End-Stage Renal Disease

The extent of renal disease is defined by how well the kidneys filter toxins. The glomeruli are very small clusters of blood vessels where the blood is actually filtered within the kidney. The level of renal disease is graded by glomerular filtration rate or GFR. The definition of end-stage renal disease, also called chronic kidney disease stage five, is 15 ml/min of GFR (glomerular filtration rate). These patients usually require dialysis.

Anatomy of End-Stage Renal Disease

The kidneys are responsible for removing toxins from the body. When the kidneys become damaged and no longer are able to appropriately filter blood and exchange electrolytes patients require dialysis. A nephrologist or kidney doctor will help manage medications to maximize renal function.

Causes of End-Stage Renal Disease

There are multiple reasons why patients develop end-stage renal disease. Some patients have congenital issues such as a horseshoe kidney or polycystic kidney disease. Other patients develop kidney damage over time from conditions such as hypertension, diabetes, or HIV. Elevated glucose levels in diabetic patients can damage the glomeruli. Elevated blood pressures can also damage renal function. Certain medications may have a toxic effect and must be eliminated if possible.

Symptoms of End-Stage Renal Disease

Patients with renal disease can quickly progress to failure. Symptoms include:

  • Extreme fatigue
  • Loss of appetite
  • Abnormal heart rhythm due to electrolyte problems
  • Heart failure
  • Edema (swelling)

Diagnosis of End-Stage Renal Disease

Diagnosis of End-Stage Renal Disease is mostly based on the glomerular filtration rate. Using blood tests, physicians can measure the GFR. A nephrologist will decide when and how to start dialysis.

Prevention of End-Stage Renal Disease

Patients need to maintain a healthy weight and adequately manage their chronic medical conditions. It is imperative for diabetics to achieve adequate glucose control. Those with elevated blood pressure should strive to keep blood pressure readings within normal limits. Patients should see their physicians regularly, and stay away from nephrotoxic medications.

Am I At Risk?

Patients with high blood pressure and diabetes are always at risk for renal disease. Patients with intrinsic renal disease, even without other chronic diseases are also at risk. Those with certain genetic disease such as polycystic kidney disease are also at risk of renal failure requiring dialysis.

Treatment of Renal Failure

Dialysis is the initial treatment of renal failure. A nephrologist will decide if peritoneal dialysis or hemodialysis is the best fit for a patient. Ultimately, a renal transplant eliminates the need for dialysis. However, not all patients are candidates and the waiting list can be extensive.

To learn more about treatment procedures for this condition please visit the following:

Dialysis Access Creation, Management and Revision

 

Patients requiring dialysis accessshould seek a dignified vascular surgeon.Acclaimed surgeons like Dr. Jenna Kazil understands that dialysis is vital for patients with end-stage renal disease and works hard to restore treatment as quickly as possible. Patients in need of help with their dialysis access on Florida’s West Coast should locate a brilliant vascular surgeon who has the surgical skills necessary to perform these serious surgical operations for the benefit of their patients. Dr. J. Kazil is an eminent vascular surgeon who has developed an impressive track record of successful cases in dialysis access. Dr. Kazil understands the important circumstances that drive the treatment with the accuracy and compassion that everyone expects from anexcellent vascular surgeon.Jenna Kazil, MD, RPVIis a great surgical specialist working as a general and vascular surgeon seeing patients from South Sarasota to East Desoto and Hardee to North Hillsborough to West Manatee and Pinellas counties. Patients requiring dialysis access should contact Dr. Kazil at the Florida Surgical Clinic located in Bradenton, FL today to schedule an appointment with a unique experienced surgeon that possesses a unique blend of expert skills and compassionate care.