Aamir Jalal Al Mosawi
Iraqi Ministry of Health, Iraq
Posters & Accepted Abstracts: J Nephrol Ther
The use of new dietary therapies to lower urea levels simulating dialysis procedures has been recently described and has been sometimes called intestinal or dietary dialysis. In the commonest form of this new dietary approach, the patient consumes relatively a large amount of soluble fiber. The most commonly used soluble fiber acacia gum is digested by colonic flora, thereby increasing the amount of nitrogen that is eliminated as fecal waste. When acacia fibers gum are added to a low protein diet in patients with advanced Chronic Kidney Disease (CKD) who do not have access to dialysis, their serum BUN levels can be lowered and they experienced a decrease in uremic symptoms. In a series of 80 patients with Chronic Renal Failure (CRF), 14(16.5%) patients were treated with a new therapeutic dietary regimen. This new dietary regimen consists of using acacia gum as dietary supplement in addition to the traditional conservative measures used in the management of CRF. The use of this novel technology resulted in amelioration of the uremic symptoms and lowering of blood urea levels and delaying the need for dialysis. In this sample of 80 patients the longest survival of 5 years was achieved in 2 patients, both treated initially with IPD. One of them was transplanted and the other was treated with new dietary technology.
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