The Japanese Journal of Nephrology
Online ISSN : 1884-0728
Print ISSN : 0385-2385
Kidney volume and acquired cystic disease of the kidney in patients undergoing long-term hemodialysis.
MIKIO YUHARA
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1984 Volume 26 Issue 6 Pages 733-744

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Abstract
The kidney volumes of twenty seven patients who had been undergoing hemodialysis for more than four years and four patients with kidney transplants were estimated using computed tomography. Kidney volumes were found to have increased after nine or more years of hemodialysis, but remained unchanged during the first six years. Acquired cystic disease of the kidney (ACDK) was found in nineteen patients (57.6%) and the longer the duration of hemodialysis, the more common it was, with all the patients who had been receiving dialysis for over nine years suffering from it. One patient with ACDK also had a renal cell carcinoma. Separating ACDK cases, and non-ACDK cases, it was found that kidney volume and duration of dialysis were directly proportional, but in the ACDK cases, the relationship (gradient) was positive, and in the non-ACDK cases, it was negative. The average kidney volume of the four patients' own kidneys after kidney transplantation was 29.1 ml/m2, there were no cases of ACDK, with the one case of ACDK before transplantation having cleared up. There was no correlation between hematocrit and kidney volume.
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© Japanese Society of Nephrology
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