Department of Nephrology
Contents of medical treatment
1. Treatment with renal diseases and the complications of these.
- Diagnosis and treatment with kidney diseases
We do not only treat the patients with medication but also with medical diet and guidance of lifestyle.
- Renal replacement therapy (hemodialysis, peritoneal dialysis, renal transplantation)
It is impossible to live that the patients whose renal function is lost should received renal replacement therapy such as hemodialysis and peritoneal dialysis. We treated the patients without renal function from induction of hemodialysis or peritoneal dialysis to rehabilitating them in society. Regarding renal transplantation, we register cadaveric renal transplantation for the patients and also consult the patients with this issue. We cooperate with Department of Urology when the patients are received renal transplantation.
- Treatment with complication related to the long-term dialysis treatment and comorbidity.
We treated the complication related to long-term treatment and comorbidty caused by other than renal failure in cooperation with other divisions.
2. Treatment with the diseases for which blood purification therapy are effective.
Blood purification medicine can removed toxic substance and supply insufficient material in blood. Hemodialysis and peritoneal dialysis are one of blood purification methods.? It is therapeutic efficacy with one of blood purification methods for the disease which cannot be adequately treated with conventional therapy. Blood purification medicine is applicable to health insurance for following diseases.
Drug intoxication, hepatic coma, fulminant hepatitis, post-operative hepatic failure, systemic lupus erythematosus, rheumatoid arthritis with vasculitis, myasthenia gravis, Guillain-Barre syndrome, Familial Hypercholesterolemia, arteriosclerosis obliterans, Focal glomerulosclerosis, primary macroglobulinemia, multiple myeloma, thrombotic thrombocytopenic purpura, severe blood type incompatible pregnancy, pemphigus, pemphigoid, renal allotransplantation, hemolytic uremic syndrome, acute hepatic failure, multiple sclerosis, chronic inflammatory demyelinating polyneuropathy, hemophilia, ulcerative colitis.
Fields of specialty
Acute glomerulonephritis, chronic glomerulonephritis, investigation of hematuria and proteinuria, hypertension, diabetes mellitus nephropathy, renal biopsy, chronic renal failure (conservative stage renal failure, end stage renal failure, renal transplantation, hemodialysis, peritoneal dialysis), complication related to dialysis, autoimmune diseases, acute renal failure, hepatic failure, multi organ failure and kidney disease related connective tissue diseases.
Feature of medical care and treatment of expertise
We treat the patients with kidney disease and received blood purification medicine based on recent evidences. In 2013, there were 126 patients received vascular access operation, 59 patients induced dialysis and we performed 3,700 times of hemodialyasis, 149 times of other blood purification methods such as plasmapheresis, and 643 times of continuous renal replacement therapy. We also actively perform Percutaneous Ethanol Injection Therapy (PEIT) for secondly hyperparathyroidism, which is one of the complications in the patients received long-term dialysis and average number of this therapy were 12/yaer for last 3 years. We place importance on more intensive management, diagnosis and therapy for various patient conditions.