To Supplement or Not: That Is the Question

[摘要] Protein energy wasting (PEW) is a common feature in maintenance dialysis patients (1), and its prevalence has not been improved in the past 15 years (2). Despite being a life-saving procedure, hemodialysis unfortunately has many adverse effects. Among them, it is a catabolic event in response to inflammatory cytokines, loss of nutrients into the dialysate, anorexia, and multiple septic complications, which over time induce a progressive wasting and eventually cachexia. Any attempt to improve patients’ spontaneous nutritional intake is of interest because it overcomes other catabolic conditions and reverses the wasting process (1).

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome