13th Annual Convention & Scientific Seminar,2017
Kidney Foundation, Bangladesh has organized the 13th Annual Convention and Scientific Seminar on 18th, 19th, and 20th November 2017 in collaboration with Royal London Hospital, UK.
The theme of the convention of this year was “Home dialysis (CAPD) is better than Hospital dialysis”.
Once the patients reach at the End stage kidney disease, treatment is either dialysis or kidney transplantation. The dialysis treatment is expensive, either it is Peritoneal Dialysis or Haemodialysis. Haemodialysis treatment at rural areas are difficult due to lack of infrastructure and facility.
The 13th annual convention and scientific seminar highlighted the recent advances in the management of CKD, including dialysis and transplantation. Different modalities of renal replacement therapy(RRT) was discussed with special emphasis on peritoneal dialysis. The seminar also enlightened the trainees on renal histopathology and provided hand on training on Arteriovenous fistula construction and repair.
On Day 1, in the morning we had three sessions of lectures from national and international speakers. The two sessions in the afternoon were allocated for dynamic trainees to participate in oral presentations which stimulated an educational debate. A price of TK.10000($120) was shared between two winners of the oral presentation. Dr.Nura Afza Salma Begum from Kidney Foundation Hospital, Bangladesh and Dr.Tufayel Ahmad Chowdhury from Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM). We also presented our new Acute Kidney Injury guideline for Kidney Foundation Hospital and shared our achievement on CAPD in Bangladesh.
Day 2 and 3 were allocated for CAPD Academy, Histological Training and Arteriovenous Fistula Training.
The CAPD Academy was in collaboration with Royal London Hospital,led by Dr. Stanley Fan, who is the head of Peritoneal Dialysis at Royal London Hospital.The Royal London Hospital has many Asian origin immigrants so treating Bangladeshi patients is familiar to them. They have extensive experience in managing PD patients. The dialysis center has the largest number of PD patients in UK and Europe. They have organized CAPD academy in Nepal with ISN Fellow Dr.Klara Paudell last year. The team from Nepal Dr.Klara Paudell and her two nurses came forward to help us set up the two day training programme in Kidney Foundation, Bangladesh this year.
The doctors and nurses received hands on practical training, lectures and had teaching based on case scenarios. The doctors were able to practice PD catheter insertion on goat belly model prepared at Kidney Foundation Hospital. Most trainees in Bangladesh do not perform PD catheter insertion independently. The catheter kits are expensive so there are not many spare kits to practice with. Dr.Fan and Dr. Paudell provided the individual catheter kit for each trainee to practice at the session. The doctors were able to perform and practice the entire procedure independently on the goat belly.
The doctors and nurses also practiced fluid exchange and Peritoneal Equilibrium Test (PET) on abdominal models at the center. The PET is not performed in Bangladesh yet due to lack of training. Therefore, this training was invaluable for our nurses and doctors. A lot of patients will now be able to receive tailored PD prescription based on PET outcome.
The two days of Histopathology training by Professor Mike Sheaff from Royal London Hospital gave an overview of renal biopsy handling and reporting. His workshop was focused on common and significant Renal clinico-pathological cases such as Glomerulonephritis/ Nephrotic syndrome, Tubulointerstitial disease, Amyloid, Thrombotic microangiopathies, MCGN/C3 nephropathy, ANCA/Anti-GBM disease, Paraprotein related kidney disease etc. Prof Sheaff demonstrated how to interpret Renal transplant biopsies to help our histopathologists understand the different types of rejection which is important for clinical management.
We also had two days of Arteriovenous Fistula training in operation theater by the renowned surgeon from Korea Dr. Cheol Woong Jung.Our trainees had this great opportunity to learn and assist in some of the most challenging cases.
Dr. Jung operated on 5 patients. Two of the cases were new patients who never had fistula before. He performed radiocephalic fistula on them and help our trainees to be accustomed to the procedure.
The third patient had two failed fistulas previously.This was thought to be secondary to chemotherapy for breast cancer.Her veins were therefore too fibrotic to mature and deeply sited. Dr. Jung performed a venous transposition to bring the basilic vein superficially and then performed the anastomosis with the brachial artery. In Bangladesh venous transposition is not normally performed.
The fourth patient came with an 10x5cm aneurysm of left radiocephalic AVF. In Bangladesh, AVF aneurysm is normally closed at the expense of closing the radial artery as well. The patient receives dialysis through a temporary catheter until a new fistula is constructed successfully. Dr. Jung skillfullyrepaired the aneurysm on the left, performed an anastomosis of the proximal and distal part of the radial artery.He constructed a new fistulajust above the aneurysmal site in the forearm in one session. The whole operation took over three and a half hours.
The fifth patient had two previous fistulas, the first one (left radiocephalic) was blocked next day. Second fistula (left radiocephalic) was blocked after 2 weeks. Usually these patients get a new fistula on the right side (right radiocephalic). Dr. Jung performed a vascular USS and found that thesecond fistula (left radiocephalic) had a small clot inside. He operated on the second fistula, removed the clot and performed a new fistula (left radiocephalic) slightly above the previous one at the same setting.
The above cases were invaluable exposure for our trainees.Hopefully,our trainees will be able to deal with these challenging cases and a lot of fistulas will be recovered instead of being closed permanently.
We are including the three days of programme schedule in this report.
This seminar in collaboration with Royal London Hospital was a great opportunity for our trainees in Bangladesh to enhance their knowledge and skills. We received great feedback from everyone which is also included in this report.
- Weekly academic session on interesting case report,biopsy session,renal transplant and death review.
- Annual convention and scientific seminar on Kidney disease,dialysis and renal transplant.
- By annually on CAPD and renal transplant.
Academic Activities in Kidney Foundation
- 1st Annual Convention of Scientific Seminar – 30th November-2004.
- Theme: Free treatment of kidney failure patients – finding the
- Two Speakers – 8 penalist.
- Participants -220.
2nd to 10th Annual Convention and Scientific Seminar in Kidney Foundation: 2007-2014
- Total no. of invited Speakers : 62
- Speakers from abroad : 34
- Participants in scientific seminar : 250-280
CAPD Conference from 2013 & 2014
- Invited Speakers : 20
- Speakers from abroad : 8
- Total no. of participants : 250-270