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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8552
|
pubmed:dateCreated |
1987-8-24
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pubmed:abstractText |
The potential of a starch-derived glucose polymer (molecular weight 16,800) as an osmotic agent for peritoneal dialysis was evaluated. A dialysate isosmotic to uraemic serum (302 [SEM 1.3] mOsm/kg) containing 5% glucose polymer (9.4 mmol/l) was compared with hypertonic (332 [1.0] mOsm/kg) 1.36% glucose (76 mmol/l) solution for ultrafiltration, solute transport, and carbohydrate absorption over 6 h and 12 h peritoneal dialysis exchanges. Glucose polymer solution produced substantially greater net ultrafiltration than glucose, while maintaining stable dialysate osmolality throughout the exchanges. At 6 h and 12 h, 14.4% and 28.1% of glucose polymer had been absorbed, compared with 61.5% and 83.0% of glucose; thus, glucose polymer provided less than 50% of the calorie load of the glucose dialysate per unit volume of ultrafiltrate. There was a 7-9-fold increase in serum maltose with glucose polymer. This high-molecular-weight glucose polymer produced sustained ultrafiltration even when dialysate osmolality remained within the physiological range, by a mechanism resembling "colloid" osmosis. It is a safe and effective osmotic agent but its long-term effects need further study.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
25
|
pubmed:volume |
2
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
178-82
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2885639-Adult,
pubmed-meshheading:2885639-Drug Evaluation,
pubmed-meshheading:2885639-Female,
pubmed-meshheading:2885639-Humans,
pubmed-meshheading:2885639-Isotonic Solutions,
pubmed-meshheading:2885639-Male,
pubmed-meshheading:2885639-Maltose,
pubmed-meshheading:2885639-Middle Aged,
pubmed-meshheading:2885639-Molecular Weight,
pubmed-meshheading:2885639-Oligosaccharides,
pubmed-meshheading:2885639-Osmolar Concentration,
pubmed-meshheading:2885639-Peritoneal Dialysis, Continuous Ambulatory,
pubmed-meshheading:2885639-Time Factors,
pubmed-meshheading:2885639-Ultrafiltration
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pubmed:year |
1987
|
pubmed:articleTitle |
Ultrafiltration with an isosmotic solution during long peritoneal dialysis exchanges.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Controlled Clinical Trial,
Research Support, Non-U.S. Gov't
|