St. Luke’s International Hospital

St. Luke’s International Hospital

Nephrology Department

Chronic Kidney Disease is a National Affliction

Currently, there are about 290,000 dialysis patients in Japan, calculating to approximately one in every 500 people. The numbers of dialysis patients are not only increasing in Japan, but have increased drastically around the world. Potential dialysis condition of chronic renal function impairment is called “Chronic Kidney Disease”.

It is estimated that there are roughly 13 million Chronic Kidney Disease patients in Japan. This calculates to one in every eight adults, and this too is increasing rapidly.

Even though “Chronic Kidney Disease” is a national affliction, the majority of patients do not feel any symptoms. Their renal function gradually deteriorates and progresses to become an end-stage renal disease. However, early detection and treatment for “Chronic Kidney Disease” allows to slow down the progression of the disease.

Overview

St Luke’s Nephrology Department provides treatment for various kinds of glomerular disease covered by the term, “chronic kidney disease,” as well as kidney disease associated with general systemic disease, acute disorders of the kidney, hypertension and electrolyte abnormalities, while peritoneal dialysis, hemodialysis, and renal transplantations are also performed. At the Chronic Kidney Disease Clinic, a team approach is used, and a doctor, nurse, dietician, and pharmacist cooperate in the medical treatment and education of patients. This group of specialists is involved in the entire flow of treatment from predialysis disease through peritoneal dialysis, hemodialysis and renal transplantation.

Our Dialysis Department has been upgraded, and all types of blood purification therapy including hemodialysis, peritoneal dialysis, plasma exchange, acute blood purification therapy, etc. are provided. We are particularly committed to minimize the physical burden of peritoneal dialysis on patients to preserve their residual renal function. In cooperation with the Intensive Care Unit we are available on a 24-hour basis to provide acute blood purification therapy in case of multiple organ failure or acute disorders of the kidney.

About the Kidney Center

The Kidney Center can support the treatment of all persons with kidney or related diseases, from the stage of predialysis chronic kidney disease through dialysis.
Highly specialized doctors, nurses, pharmacists and dieticians participate in the team that treats all patients with kidney disease.

-Target diseases treated at the Kidney Center-

  1. Diagnosis and treatment of all kinds of kidney disease and water/electrolyte abnormalities
  2. Diagnosis of predialysis chronic disease and provision of lifestyle guidance to patients
  3. Dialysis therapy for end-stage renal failure (hemodialysis, peritoneal dialysis), and renal transplantation
  4. As a specialized blood purification therapy division, specific treatment for acute renal failure, multiple organ failure, neuroimmune diseases, drug poisoning, etc.
  5. We cooperate with other departments to treat kidney disease and water/electrolyte abnormalities in inpatients

At St. Luke’s International Hospital, we consult chronic kidney disease with team medicine. By conducting a kidney transplant led by the internal medicine department, we will responsibly treat complications from pre-dialysis chronic kidney disease to post-transplantation infections, blood pressure/blood sugar controls and circulatory diseases.

Transient Dialysis is available. Please click here for details.


Diseases and Expertise

  • All kinds of glomerular disease
  • Acute disorders of the kidney
  • Chronic kidney disease
  • Hypertension
  • Electrolyte abnormalities, etc.
  • Hemodialysis
  • Peritoneal dialysis
  • Renal transplantation
  • Plasma exchange
  • Acute blood purification therapy

Statistics

  1. Inpatient care/consultations
    In FY 2011 we treated a total of 201 hospitalized nephrology patients. We were also consulted by 200 patients hospitalized in other departments.
  2. Outpatient Care
    A nephrologist, nurse and dietician collaborate at the daily held Chronic Kidney Disease Clinic, mainly to provide treatment and lifestyle guidance to patients. In FY 2011, we treated a total of more than 5000 outpatients, including both first-time and repeat visits.
  3. Hemodialysis/Peritoneal dialysis
    In FY 2011, hemodialysis was provided to 40 patients and peritoneal dialysis to 10 patients. At present, 9 doctors and 23 nurses are providing hemodialysis to approximately 130 in-and outpatients, and peritoneal dialysis to 25 patients. We do not presently accept new maintenance dialysis outpatients – patients who are started on hemodialysis at this hospital are in principle referred to hemodialysis facilities close to their homes or working places to continue treatment there.
  4. Special blood purification therapy
    There is an increasing demand for special blood purification therapies like continuous hemodiafiltration (CHDF) in patients with multiple organ failure following cardiac surgery. In FY 2014 alone, we have treated a total of 844 patients with the cooperation of 17 clinical engineering technologists (The breakdown of procedures performed is 628 times of IHD, 39 times of CRRT, 101 times of leukocyte removal, 50 times of plasma exchange, 7 times of endotoxin adsorption (PMX), and 19 times of other procedures.)

Certifications

  • Japanese Society of Nephrology
  • Japanese Society for Dialysis Therapy