kidney booklet launch at kolkata fortis kidney institute
DESCRIPTION
Fortis Hospitals ( former Wockhardt Hospitals ) launch of Kidney Booklet at Kidney InstituteTRANSCRIPT
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World Kidney Day 2010
• Better Kidneys for Better Health !
Dr R K GopalaKrishna
Fortis Hospitals and Kidney Institute
Kolkata
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Kidney : An Amazing Organ
• A kidney is the size of a computer mouse or the human fist
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Kidney: An Amazing Filter !
• Unique blood purifier : filters, reabsorbs and secretes
• 1 million nephrons in each kidney• Entire blood volume of 5 litres in our body
circulates thru kidneys every 4 minutes• 180 litres body water filters out thru the
nephrons• Almost all of this is reabsorbed, and only 2
litres passes out as urine !
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Myths/Misconceptions
• Myth 1: Only one kidney works at a time !• Reality : They always work together
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• Myth 2: People with a single kidney cannot take up strenuous work and should restrict their diet
• Reality : They are as fit as anyone else !If renal function is normal ,they eat
normally
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• Myth 3 : Kidney failure means that they have stopped working completely
• Reality: Even with a 20% kidney function, dialysis may not be necessary
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• Myth 4: with dialysis or after kidney transplant, life becomes highly restrained
• Reality: Normal life is quite possible !
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• Myth 5: Kidney cancer means ‘ end of the road ’
• Reality: Kidney cancer is curable !
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Kidney cancer
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Statistics
• Kidney cancer is the most lethal of urinary cancers
• Childhood kidney cancer is different from adult kidney cancer
• Children affected are usually before 4 yrs • Adult onset maximum between 50-70 yrs
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Statistics
• Men > women• Incidence in India : 4 per 1lakh populatio• in USA : 8.7 per 1lakh populatio• 4% have family history
• 40% mortality for advanced kidney cancer
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Risk factors for kidney cancer
• Smoking• Obesity • Workplace exposure to asbestos,benzene• High blood pressure• Dialysis patients• Genetic factors like VHL gene• Family history
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How do I detect early kidney cancer ??
• Periodic health check up with ultrasonogram• Positive family history• Do not ignore back/ abdominal pains which
does nt go away• Any blood in urine• Persisting ill health,anaemia, wt. loss
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Advantages of early detection in kidney cancer
• The cancer is curable• Only the tumor may be removed if small,
preserving rest of the kidney• This is called ‘nephron sparing surgery’• Very suitable in patients with single kidney or
in patients with low overall kidney function
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Illustration of kidney preserving cancer surgery
• 52 yr old ENT surgeon went for health check for diabetes
• U/S showed 4 cm kidney tumor , confirmed on CT scan
• Had partial nephrectomy done • Postoperative CT scan at 3 months shows
nearly 70% preservation of kidney with normal function
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4cm tumor
Kidney After operation
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Can we prevent kidney cancer
• Difficult – as cause is often not known• Avoid risk factors – smoking, obesity, high
blood pressure, environmental pollutants, • Diet – high fruit and fibre
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Whats new in Kidney cancer therapy
• Nephron sparing surgery – for early cancer• Laparoscopic nephrectomy- removal of kidney
tumor by key hole surgery• Cryosurgery for small tumors• Medications- targeted therapy
autologous vaccines
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Questions
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Thank You