This book describes the management of a challenging case of severe uremia treated with intestinal dialysis. The patient was a 75-year-old man with obstructive nephropathy, bilateral urinary tract obstruction, renal calculi, marked benign prostatic enlargement, and underlying ischemic heart disease.He presented with severe azotemia, oliguria, dyspnea, and bilateral leg edema, requiring three consecutive emergency hemodialysis sessions. Intestinal dialysis was subsequently initiated, incorporating dietary protein restriction and acacia gum alongside supportive medical therapy.The book documents the patient's subsequent clinical and biochemical recovery, including marked reductions in blood urea and serum creatinine levels, improved urine output, resolution of edema, and sustained improvement in renal function without further emergency hemodialysis during follow-up.This book provides a practical account of intestinal dialysis following emergency hemodialysis and highlights its potential complementary role in the management of severe, potentially reversible uremia while addressing the underlying obstructive urinary pathology.
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