Greetings
The number of patients requiring dialysis is increasing year by year, and the population is aging. There is a growing need for medical care that is tailored to each patient's condition and lifestyle. Dialysis Department provides a wide range of blood purification medical services, including dialysis initiation and acute blood purification therapy, primarily for patients with renal failure who require hospitalization. In addition, we are involved in home dialysis therapies such as home hemodialysis and peritoneal dialysis, and we also collaborate with Transplant Surgery to participate in kidney transplants, aiming to provide renal failure treatment that is appropriate for each individual patient.
Director of Dialysis Department
Komaba Omine
Overview
Treatment details
- Facility certified by the Japanese Society for Dialysis Therapy
• Maximum simultaneous dialysis capacity: 15 beds (30 patients) within the center.
・Clinical engineers: 10 people
- 13 off-site (mobile) devices (including plasma exchange equipment)
*As a general rule, our center provides treatments such as hemodialysis to patients who require hospitalization.
Since its opening, our hospital has provided inpatient treatment for approximately 6,000 patients with end-stage renal failure. We initiate hemodialysis for about 100 patients annually, and after initiation, we refer them to nearby dialysis clinics to facilitate their transition to maintenance dialysis. We also provide inpatient treatment for dialysis patients with various medical and surgical complications, including shunt problems and secondary hyperparathyroidism, in collaboration with relevant departments. Our center serves as a comprehensive medical center for maintenance dialysis patients in the western Kanagawa Prefecture and eastern Shizuoka Prefecture region.
Main target diseases
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End-stage renal failure
Shunt problems, secondary hyperparathyroidism, amyloidosis, dialysis difficulties -
Acute kidney injury
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Blood purification therapy for the following diseases
Blood disorders: Multiple myeloma, macroglobulinemia, thrombotic thrombocytopenic purpura
Liver disease: fulminant hepatitis, liver failure
Kidney diseases: Rapidly progressive glomerulonephritis, focal segmental glomerulosclerosis
Collagen diseases: Systemic lupus erythematosus, malignant rheumatoid arthritis
Neurological disorders: Myasthenia gravis, multiple sclerosis, neuromyelitis optica, chronic inflammatory demyelinating polyradiculoneuritis, Guillain-Barré syndrome
Skin diseases: Pemphigus, bullous pemphigoid, toxic epidermal necrolysis, Stevens-Johnson syndrome
Cardiovascular diseases: Familial hypercholesterolemia, arteriosclerosis obliterans
Digestive diseases: Ulcerative colitis, Crohn's disease
Pre-transplant desensitization: ABO blood group incompatibility or anti-DSA antibody-positive kidney/liver transplantation
Main medical achievements
・Kidney failure treatment
Our center provides all types of renal replacement therapy, including dialysis (hemodialysis and peritoneal dialysis) and transplantation. Furthermore, we also offer initiation and management of home hemodialysis. We can select the most appropriate renal replacement therapy based on the patient's condition and preferences. Our staff possesses extensive knowledge and experience, and we have established a support system where doctors, nurses, clinical engineers, registered dietitians, pharmacists, and social workers work closely together to support our patients.
Home hemodialysis
Home hemodialysis is a treatment that allows you to receive hemodialysis at home, similar to the treatment typically performed at dialysis facilities. While facility-based hemodialysis requires you to adjust your lifestyle to the dialysis schedule, home hemodialysis allows you to determine the dialysis time to suit your own lifestyle.
Since you will be responsible for preparing and cleaning up your hemodialysis equipment at home, you will need to undergo a certain period of training. At our center, we offer training tailored to each patient's needs, allowing them to visit us on weekends to receive preparation for home hemodialysis.
Patients who have started home hemodialysis at our center have reported that it has become easier to balance their social lives with treatment, and that they have also experienced improvements in their physical condition.
・Peritoneal dialysis
Peritoneal dialysis is a treatment method that uses the membrane inside the abdomen (peritoneum) to exchange dialysis fluid at home or at work, removing waste products and excess fluid. It is a type of home dialysis. The main methods include CAPD, in which the patient exchanges the dialysis fluid themselves 3-4 times a day, and APD, in which the dialysis fluid is exchanged using a machine while the patient sleeps. At our center, it is possible to choose a treatment method that suits the patient's lifestyle. Peritoneal dialysis is a treatment method that makes it easier to continue treatment while reducing the number of hospital visits and making it easier to balance with social life.
・Kidney transplant
At our hospital, Transplant Surgery performs more than 20 living donor kidney transplants annually, and pre-transplant desensitization therapy is carried out at our center in cooperation with Transplant Surgery. We also collaborate with Transplant Surgery to treat transplant-related complications and rejection reactions.
For patients who wish to receive a kidney transplant, we offer outpatient services for registration with the Japan Organ Transplant Network (Kanto-Koshinetsu Block) and scheduling of tissue compatibility tests.
Blood purification therapy
For patients with acute kidney injury, multiple organ failure, drug poisoning, etc., occurring after surgery or trauma, our center provides 24-hour acute blood purification therapy more than 800 times a year.
Furthermore, we also provide blood purification therapy in collaboration with relevant departments for various diseases caused by large molecular weight proteins and other factors that cannot be adequately removed by conventional hemodialysis.