Statistics

 array:24 [
  "pii" => "S2013251417300585"
  "issn" => "20132514"
  "doi" => "10.1016/j.nefroe.2016.10.010"
  "estado" => "S300"
  "fechaPublicacion" => "2017-03-01"
  "aid" => "992"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "cor"
  "cita" => "Nefrologia (English Version). 2017;37:223-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3641
    "formatos" => array:3 [
      "EPUB" => 378
      "HTML" => 2687
      "PDF" => 576
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S0211699516301862"
      "issn" => "02116995"
      "doi" => "10.1016/j.nefro.2016.10.013"
      "estado" => "S300"
      "fechaPublicacion" => "2017-03-01"
      "aid" => "292"
      "copyright" => "Sociedad Española de Nefrología"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "cor"
      "cita" => "Nefrologia. 2017;37:223-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4278
        "formatos" => array:3 [
          "EPUB" => 383
          "HTML" => 3266
          "PDF" => 629
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
        "titulo" => "Enteropat&#237;a pierde-prote&#237;nas en un paciente en di&#225;lisis peritoneal"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "223"
            "paginaFinal" => "224"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Protein-losing enteropathy in a patient on peritoneal dialysis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 884
                "Ancho" => 1978
                "Tamanyo" => 205282
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudio de videoc&#225;psula endosc&#243;pica en el que se observa engrosamiento difuso de pliegues intestinales asociado a una intensa linfangiectasia&#44; con mucosa de aspecto nodular y presencia de m&#250;ltiples ulceraciones&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Juan Egea-Valenzuela, Adoraci&#243;n Martinez-Losa, Miriam Alajarin-Cervera, Manuel Lanuza-Luengo, Fernando Alberca-de-las-Parras, Fernando Carballo-Alvarez"
            "autores" => array:6 [
              0 => array:2 [
                "nombre" => "Juan"
                "apellidos" => "Egea-Valenzuela"
              ]
              1 => array:2 [
                "nombre" => "Adoraci&#243;n"
                "apellidos" => "Martinez-Losa"
              ]
              2 => array:2 [
                "nombre" => "Miriam"
                "apellidos" => "Alajarin-Cervera"
              ]
              3 => array:2 [
                "nombre" => "Manuel"
                "apellidos" => "Lanuza-Luengo"
              ]
              4 => array:2 [
                "nombre" => "Fernando"
                "apellidos" => "Alberca-de-las-Parras"
              ]
              5 => array:2 [
                "nombre" => "Fernando"
                "apellidos" => "Carballo-Alvarez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2013251417300585"
          "doi" => "10.1016/j.nefroe.2016.10.010"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300585?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699516301862?idApp=UINPBA000064"
      "url" => "/02116995/0000003700000002/v1_201704211146/S0211699516301862/v1_201704211146/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2013251417300536"
    "issn" => "20132514"
    "doi" => "10.1016/j.nefroe.2017.02.009"
    "estado" => "S300"
    "fechaPublicacion" => "2017-03-01"
    "aid" => "282"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:225-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5621
      "formatos" => array:3 [
        "EPUB" => 347
        "HTML" => 4645
        "PDF" => 629
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Role of kidney MRI to monitoring clearance of hemosiderin deposits in paroxysmal nocturnal hemoglobinuria"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "225"
          "paginaFinal" => "227"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Rol de la resonancia magn&#233;tica renal en la monitorizaci&#243;n del aclaramiento de los dep&#243;sitos de hemosiderina en la hemoglobinuria parox&#237;stica nocturna"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1226
              "Ancho" => 1500
              "Tamanyo" => 211871
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial T2 sequence image&#46; Diffuse low signal of the renal cortex compared to the liver and skeletal muscle&#46; &#40;B&#41; Axial T1 in-phase sequence also shows low signal of the renal cortex compared to the liver and skeletal muscle&#46; &#40;C&#41; MR of the same patient 14 months after start of treatment&#46; Axial T2 sequence image shows important improvement of the low signal on T2&#46; &#40;D&#41; Axial T1 in-phase sequence confirms the important increase of the renal cortex signal compared with the previous MR study&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Gaston Julio Pi&#241;eiro, Carlos Nicolau, Anna Gaya, Laura Bu&#241;esch, Esteban Poch"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Gaston Julio"
              "apellidos" => "Pi&#241;eiro"
            ]
            1 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Nicolau"
            ]
            2 => array:2 [
              "nombre" => "Anna"
              "apellidos" => "Gaya"
            ]
            3 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Bu&#241;esch"
            ]
            4 => array:2 [
              "nombre" => "Esteban"
              "apellidos" => "Poch"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S021169951630176X"
        "doi" => "10.1016/j.nefro.2016.10.007"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021169951630176X?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300536?idApp=UINPBA000064"
    "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300536/v1_201705250045/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2013251417300779"
    "issn" => "20132514"
    "doi" => "10.1016/j.nefroe.2017.04.005"
    "estado" => "S300"
    "fechaPublicacion" => "2017-03-01"
    "aid" => "266"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:221-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5077
      "formatos" => array:3 [
        "EPUB" => 338
        "HTML" => 4054
        "PDF" => 685
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "The star fruit as a cause of acute kidney injury"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "221"
          "paginaFinal" => "222"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "La fruta estrella causa fracaso renal agudo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 480
              "Ancho" => 991
              "Tamanyo" => 64032
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of <span class="elsevierStyleItalic">Averrhoa carambola</span>&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Mar&#237;a Molina, Enrique Morales, Beatriz Navarro, Candela Moliz, Manuel Praga"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Molina"
            ]
            1 => array:2 [
              "nombre" => "Enrique"
              "apellidos" => "Morales"
            ]
            2 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Navarro"
            ]
            3 => array:2 [
              "nombre" => "Candela"
              "apellidos" => "Moliz"
            ]
            4 => array:2 [
              "nombre" => "Manuel"
              "apellidos" => "Praga"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0211699516301461"
        "doi" => "10.1016/j.nefro.2016.09.011"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699516301461?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300779?idApp=UINPBA000064"
    "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300779/v1_201705250045/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Protein-losing enteropathy in a patient on peritoneal dialysis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "223"
        "paginaFinal" => "224"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Juan Egea-Valenzuela, Adoraci&#243;n Martinez-Losa, Miriam Alajarin-Cervera, Manuel Lanuza-Luengo, Fernando Alberca-de-las-Parras, Fernando Carballo-Alvarez"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Juan"
            "apellidos" => "Egea-Valenzuela"
            "email" => array:1 [
              0 => "juanegeavalenzuela&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Adoraci&#243;n"
            "apellidos" => "Martinez-Losa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Miriam"
            "apellidos" => "Alajarin-Cervera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Manuel"
            "apellidos" => "Lanuza-Luengo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Alberca-de-las-Parras"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Carballo-Alvarez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Aparato Digestivo&#44; Hospital Cl&#237;nico Universitario Virgen de la Arrixaca&#44; Murcia&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Nefrolog&#237;a&#44; Hospital Cl&#237;nico Universitario Virgen de la Arrixaca&#44; Murcia&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Enteropat&#237;a pierde-prote&#237;nas en un paciente en di&#225;lisis peritoneal"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 875
            "Ancho" => 1976
            "Tamanyo" => 200138
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Endoscopic evaluation using videocapsule showing diffuse thickening of intestinal folds&#44; intense lymphangiectasia and a nodular mucosa with multiple ulcers&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">There are several nutritional abnormalities in the peritoneal dialysis patient &#40;PD&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> But there are not recommendations from clinical guidelines<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2&#44;3</span></a> or systematic reviews<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> regarding enteropathies as the cause on malabsorption and malnutrition in these patients&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We present a patient&#44; 49 years old on PD because IgM nephropathy&#44; with severe diarrhea with hypoalbuminemia and progressive weight loss&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Endoscopies and intestinal transit with barium were normal&#46; Abdominal computer tomography revealed mesenteric adenopathies although the biopsy showed reactive lymphoid tissue without evidence of malignancy&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Clinically&#44; the patient progressively deteriorated with signs of marked malnutrition and requiring regular blood transfusion to control the anemia&#46; Then it was decide to perform an endoscopy of small intestine using a video capsule&#46; It was observed a diffuse thickening of the intestinal wall with lymphangiectasia wide areas of ulcers&#44; narrowing and bleeding spots &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a and 1b&#41;&#46; Next&#44; biopsies were obtained that were informed as non-specific inflammation and lymphangiectasia&#46; A new endoscopy with biopsies led to similar results&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The diagnosis was entheropathy related to PD&#44; and the patient was transferred to hemodialysis&#46; During the following weeks&#44; the patient improved significantly&#44; gained weight and did not require additional blood transfusions&#46; Six months later an additional endoscopy revealed significant healing of the intestinal mucosa&#46; Presently the patient is in the waiting list for renal transplantation&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Enteropathy causing loss of protein in PD patients is infrequent and it is not well recognized&#46; There are only few reports in the literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">5&#44;6</span></a> The pathophysiological theory is that long term changes in the peritoneal membrane could result in obstruction of the lymphatic drainage&#59; the lymphangiectasia would be the main responsible for the protein losing enteropathy&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">7</span></a> The treatment would be switching to hemodialysis&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In our case there were severe clinical consequences that forced multiple exploratory intervention among other the enteroscopy with viedeocapsule using the technique of double balloon&#46; It is likely that this type of entheropathy may play a role in the suboptimal nutritional status of some PD patients&#46; So it should be suspected if biochemistry is altered even if the patient is asymptomatic&#46; We suggest to perform endoscopy with videocapsule in PD patients with hypoalbuminemia&#44; anemia and unjustified weight loss&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Egea-Valenzuela J&#44; Martinez-Losa A&#44; Alajarin-Cervera M&#44; Lanuza-Luengo M&#44; Alberca-de-las-Parras F&#44; Carballo-Alvarez F&#46; Enteropat&#237;a pierde-prote&#237;nas en un paciente en di&#225;lisis peritoneal&#46; Nefrologia&#46;2017&#59;37&#58;223&#8211;224&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 875
            "Ancho" => 1976
            "Tamanyo" => 200138
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Endoscopic evaluation using videocapsule showing diffuse thickening of intestinal folds&#44; intense lymphangiectasia and a nodular mucosa with multiple ulcers&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:7 [
            0 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changes in nutritional status on follow-up of an incident cohort of continuous ambulatory peritoneal dialysis patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "N&#46; Prasad"
                            1 => "A&#46; Gupta"
                            2 => "A&#46; Sinha"
                            3 => "R&#46;K&#46; Sharma"
                            4 => "A&#46; Kumar"
                            5 => "R&#46; Kumar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1053/j.jrn.2007.08.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Ren Nutr"
                        "fecha" => "2008"
                        "volumen" => "18"
                        "paginaInicial" => "195"
                        "paginaFinal" => "201"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18267212"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Peritoneal dialysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Wright"
                            1 => "C&#46; Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "5th edition"
                        "fecha" => "2010"
                        "editorial" => "UK Renal Association"
                        "editorialLocalizacion" => "Petersfield - Hampshire"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "NICE clinical guideline&#46; Peritoneal dialysis in the treatment of stage 5 chronic kidney disease&#46; 2011&#46;"
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Protein-losing gastroenteropathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46; Milovic"
                            1 => "R&#46;J&#46; Grand"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "UpToDate"
                        "serieFecha" => "2014"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Protein-losing gastropathy in peritoneal dialysis as a wolf in sheep&#39;s clothing&#58; Tc-99m human serum albumin SPECT&#47;CT diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Y&#46;C&#46; Chen"
                            1 => "Y&#46;C&#46; Su"
                            2 => "J&#46;S&#46; Chiu"
                            3 => "Y&#46;F&#46; Wang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/RLU.0b013e318233638a"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Nucl Med"
                        "fecha" => "2012"
                        "volumen" => "37"
                        "paginaInicial" => "e16"
                        "paginaFinal" => "e18"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22157052"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0091674913005988"
                          "estado" => "S300"
                          "issn" => "00916749"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Protein-losing enteropathy is associated with peritoneal functional abnormalities in peritoneal dialysis patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Aguilera"
                            1 => "M&#46;A&#46; Bajo"
                            2 => "R&#46; Codoceo"
                            3 => "M&#46; Mariano"
                            4 => "G&#46;D&#46; del Peso"
                            5 => "A&#46; Olveira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Peri Dial Int"
                        "fecha" => "2000"
                        "volumen" => "20"
                        "paginaInicial" => "284"
                        "paginaFinal" => "289"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gastrointestinal and pancreatic function in peritoneal dialysis patients&#58; their relationship with malnutrition and peritoneal membrane abnormalities"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Aguilera"
                            1 => "M&#46;A&#46; Bajo"
                            2 => "M&#46; Espinoza"
                            3 => "A&#46; Olveira"
                            4 => "A&#46;M&#46; Paiva"
                            5 => "R&#46; Codoceo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Kidney Dis"
                        "fecha" => "2003"
                        "volumen" => "42"
                        "paginaInicial" => "787"
                        "paginaFinal" => "796"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14520630"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300585/v1_201705250045/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003700000002/v1_201705250045/S2013251417300585/v1_201705250045/en/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300585?idApp=UINPBA000064"
]