Kidney booklet launch at Kolkata Fortis Kidney Institute

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Fortis Hospitals ( former Wockhardt Hospitals ) launch of Kidney Booklet at Kidney Institute

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Kidney booklet launch at Kolkata Fortis Kidney Institute

  1. 2. World Kidney Day 2010 <ul><li>Better Kidneys for Better Health ! </li></ul>Dr R K GopalaKrishna Fortis Hospitals and Kidney Institute Kolkata
  2. 3. Kidney : An Amazing Organ <ul><li>A kidney is the size of a computer mouse or the human fist </li></ul>
  3. 4. Kidney: An Amazing Filter ! <ul><li>Unique blood purifier : filters, reabsorbs and secretes </li></ul><ul><li>1 million nephrons in each kidney </li></ul><ul><li>Entire blood volume of 5 litres in our body circulates thru kidneys every 4 minutes </li></ul><ul><li>180 litres body water filters out thru the nephrons </li></ul><ul><li>Almost all of this is reabsorbed, and only 2 litres passes out as urine ! </li></ul>
  4. 5. Myths/Misconceptions <ul><li>Myth 1: Only one kidney works at a time ! </li></ul><ul><li>Reality : They always work together </li></ul>
  5. 6. <ul><li>Myth 2: People with a single kidney cannot take up strenuous work and should restrict their diet </li></ul><ul><li>Reality : They are as fit as anyone else ! </li></ul><ul><li>If renal function is normal ,they eat normally </li></ul>
  6. 7. <ul><li>Myth 3 : Kidney failure means that they have stopped working completely </li></ul><ul><li>Reality: Even with a 20% kidney function, dialysis may not be necessary </li></ul>
  7. 8. <ul><li>Myth 4: with dialysis or after kidney transplant, life becomes highly restrained </li></ul><ul><li>Reality: Normal life is quite possible ! </li></ul>
  8. 9. <ul><li>Myth 5: Kidney cancer means </li></ul><ul><li> ‘ end of the road ’ </li></ul><ul><li>Reality: Kidney cancer is curable ! </li></ul>
  9. 10. Kidney cancer
  10. 11. Statistics <ul><li>Kidney cancer is the most lethal of urinary cancers </li></ul><ul><li>Childhood kidney cancer is different from adult kidney cancer </li></ul><ul><li>Children affected are usually before 4 yrs </li></ul><ul><li>Adult onset maximum between 50-70 yrs </li></ul>
  11. 12. Statistics <ul><li>Men > women </li></ul><ul><li>Incidence in India : 4 per 1lakh populatio </li></ul><ul><li>in USA : 8.7 per 1lakh populatio </li></ul><ul><li>4% have family history </li></ul><ul><li>40% mortality for advanced kidney cancer </li></ul>
  12. 13. Risk factors for kidney cancer <ul><li>Smoking </li></ul><ul><li>Obesity </li></ul><ul><li>Workplace exposure to asbestos,benzene </li></ul><ul><li>High blood pressure </li></ul><ul><li>Dialysis patients </li></ul><ul><li>Genetic factors like VHL gene </li></ul><ul><li>Family history </li></ul>
  13. 14. How do I detect early kidney cancer ?? <ul><li>Periodic health check up with ultrasonogram </li></ul><ul><li>Positive family history </li></ul><ul><li>Do not ignore back/ abdominal pains which does nt go away </li></ul><ul><li>Any blood in urine </li></ul><ul><li>Persisting ill health,anaemia, wt. loss </li></ul>
  14. 15. Advantages of early detection in kidney cancer <ul><li>The cancer is curable </li></ul><ul><li>Only the tumor may be removed if small, preserving rest of the kidney </li></ul><ul><li>This is called ‘nephron sparing surgery’ </li></ul><ul><li>Very suitable in patients with single kidney or in patients with low overall kidney function </li></ul>
  15. 16. Illustration of kidney preserving cancer surgery <ul><li>52 yr old ENT surgeon went for health check for diabetes </li></ul><ul><li>U/S showed 4 cm kidney tumor , confirmed on CT scan </li></ul><ul><li>Had partial nephrectomy done </li></ul><ul><li>Postoperative CT scan at 3 months shows nearly 70% preservation of kidney with normal function </li></ul>
  16. 17. 4cm tumor Kidney After operation
  17. 18. Can we prevent kidney cancer <ul><li>Difficult – as cause is often not known </li></ul><ul><li>Avoid risk factors – smoking, obesity, high blood pressure, environmental pollutants, </li></ul><ul><li>Diet – high fruit and fibre </li></ul>
  18. 19. Whats new in Kidney cancer therapy <ul><li>Nephron sparing surgery – for early cancer </li></ul><ul><li>Laparoscopic nephrectomy- removal of kidney tumor by key hole surgery </li></ul><ul><li>Cryosurgery for small tumors </li></ul><ul><li>Medications- targeted therapy </li></ul><ul><li>autologous vaccines </li></ul>
  19. 20. <ul><li>Questions </li></ul>
  20. 21. <ul><li>Thank You </li></ul>

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