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[Behavior of gastrin and gastric juice secretion in acute and chronic kidney failure before and after kidney transplantation].

In 50 patients (10 anephric, 10 with chronic renal failure, and 30 with acute renal failure) the correlation was studied between basal PG levels and basal and stimulated gastric acid secretion. a) The mean PG level in all 3 groups was significantly higher than in the control group, with the highest values in the anephric, which decreased to normal after kidney transplantation. b) In the patients with ARF and after transplantation there was a very positive correlation between PG levels and kidney function. c) Hemodialysis decreased PG levels moderately but significantly. d) Gastric acid studies showed in all groups a very low BAO and basal intragastric pH, with a significant release of gastric acid after pentagastrin stimulation, especially in the anephric.

Acute Kidney Injury

[Reduction of Willebrand activity in patients with chronic kidney failure].

Decreased factor VIII von Willebrand activity in contrast with increased factor VIII procoagulant activity and increased concentrations of factor VIII related antigen, were found in the plasma of patients with chronic renal failure. This functional abnormality of the factor VIII protein is not improved by haemodialysis, but it is no longer found in patients with normally functioning grafted kidneys. It may at least partly explain the prolonged bleeding time commonly found in chronic renal failure.

Blood Coagulation Disorders

[Serum transferrin in chronic kidney failure with conservative treatment and hemodialysis].

1. Serum transferrin is a sensitive indicator for the establishment of a subclinical protein deficit. 2. When a diet moderately poor in protein was given (0.5-0.6 g/kg body weight/daily) was given the transferrin values (243 +/- 61 mg/100 ml) were significantly lower than in the control group (284 +/- 61 mg/100 ml), but they were altogether still in the lower normal region.

Diet Therapy

[Diet therapy in chronic kidney failure].

The dose of proteins of high biological value and eventually the use of selective diet with protein mixture of highest value such as the potato-egg diet, the dose of essential aminoacids as part of the so-called Sweden-diet and finally the application of ketoanaloges of essential aminoacids, all these measures make possible a removal of all uraemic symptoms as well as a long lasting rehabilitation inspite of a strongly restricted renal detoxication.

Amino Acids