Fortis doctors in town next week
Source: The Sangai Express

Imphal, March 01 2014 : A team of doctors from Fortis Institute of Renal Sciences and Transplantation, New Delhi will come in town on March 5 and 6 .

Dr Sanjeev Gulati, Director of Nephrology, FIRST, who will lead the Fortis team said that there is an increasing prevalence of chronic kidney disease in our country.

A study done in and around Delhi reveals that the prevalence of is about13 per 10,000 people in the general population.

The 3 commonest causes of chronic kidney disease in our country are Diabetes, Glomerulonephritis and High blood pressure (hypertension).

Glomerulonephritis is the second commonest cause of kidney disease .

"We need to educate people to get periodic health check ups done including high blood pressure and and urine and blood tests.

The physicians need to be updated about recent advances in early diagnosis of chronic kidney disease.

They should also impress upon their patients to undergo yearly screening for kidney disease with their family doctors.

Patients with mild degree of kidney disease should be referred to the local nephrologists immediately so that appropriate investigations can be done and treatment can be started, he said.

"In case their disease is diagnosed at a later stage, these patients need to be explained about the various options for management of chronic kidney disease including dialysis and kidney transplant.

Dialysis therapy can be provided locally.

The ideal tertament of chronic kidney disease is a kidney transplant.

This is a very effectivel form of treatment and has more than 95% success rate.

Patients who have a kidney donor available should be referred to tertiary case centres for a kidney transplant without dialysis also.

This is called preemptive kidney transplant.

This approach helps in reducing cost as well has better success rates.

At Fortis institute of Renal Sciences and Transplantation there have been several advances in kidney transplantation.

We have the technology to do kidney transplants in HIV pateintsss.The first kidney transplant from Manipur an HIV patient was carried out with complete success more than 6 months back and is now doing fine.

We have also performed the first combined liver and kidney transplantation more than 1 year back and he is doing well also.

Besides we have done several kidney transplants in children from this state also.

Another advance in kidney transplantation has been kidney transplantation across blood groups.

Normally we need blood group compatible donors.

However with special pretreatment of the patient and removing antibodies we have done kidney transplant across blood groups, Dr Sanjeev said.

Thus the management of chronic kidney disease requires a partnership between the family physicians, local nephrologists and the tertiary care centres so that we can optimize the care of such patients who are very complex and difficult to treat, Dr Sanjeev added.

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