Nefrologi

Department of Nephrology, Hospital Selayang is a tertiary referral centre for general nephrology, dialysis, renal transplantation and interventional nephrology. It offers a comprehensive care for a complete range of kidney diseases which include evaluation and management of acute kidney injury and chronic kidney disease, pre renal transplant evaluation and post renal transplant care and management of end stage renal failure.

It also provides consultancy services and conducts outpatient nephrology and dialysis clinic in Sungai Buluh Hospital and Kuala Kubu Baru Hospital.

The Department of Nephrology has two 28 bedded nephrology wards (ward 7A and ward 7B) at level 7. Each nephrology ward is headed by a consultant nephrologist and assisted a renal registrar and 3-4 medical officers. End stage renal patients are generally managed in ward 7A while general nephrology and renal transplant patients are normally admitted to ward 7B.

Acute heamodialysis treatment is provided in the 6 stations acute haemodialysis unit. Plasma exchange, double filtration plasmapharesis and immuno-absorption services are also available.

		Figure 1: Acute Haemodialysis unit

More than 11,000 renal patients attended the nephrology outpatient clinics annually and the numbers continue to increase every year. The renal pharmacists and renal dieticians also provide dedicated counseling sessions in the nephrology clinic.

Department of Nephrology clinic schedule are as followed:-

*For more information, referral and appointments, please call 603 6126 3333 at extension 4273 or 4274

The critical care nephrology and consult unit operate 24 hours a day and received 200-300 consults a month. It provides comprehensive renal supports including intermittent acute haemodialysis, continuous renal replacement therapy and plasmapharesis.

The chronic haemodialysis centre is situated at level 3 and consists of two units with a total of 23 stations. It provides both chronic haemodialysis and chronic haemodialfiltration therapy to 3 shifts of patients.

For more information, please contact the haemodialysis manager at 603 6126 3333 at extension 3088 or 3090.

	Figure 2: Chronic Haemodialysis Unit 1		Figure 3: Chronic Haemodialysis Unit 2

The peritoneal dialysis (PD) unit is situated in Level 3 and provides comprehensive services inpatient and outpatient services to over 450 active PD patients. It is equipped with a treatment bay and 4 PD stations. It also provides counseling and training of new PD patients. A satellite PD unit situated inside nephrology ward 7A provides PD facilities for inpatients to perform PD exchanges.

For more information, please contact the PD sister at 603 6126 3333 extension 3081 or 3087

	Figure 4: Peritoneal Dialysis Unit		Figure 5: Satellite PD unit

Renal transplant services were started in 2000 and currently perform living related, emotionally related and cadaveric renal transplantation.

For more information, please contact the transplant coordinator at 603 6126 3333 extension 7007 or 7008.

The Diagnostics and Interventional Nephrology (DIN) unit is situated at level 7 and consist of an interventional nephrology suite and a procedure room. It is equipped with 2 ultrasonographic machines and a mobile C-arm and provides a wide range of diagnostics and interventional nephrology services including:-

1. Ultrasonographic examination of the native and transplanted kidneys
2. Ultrasonographic examination of vascular access and pre surgery venous mapping
3. Insertions and salvage of peritoneal dialysis catheters
4. Insertion of non cuffed haemodialysis catheters
5. Insertion of cuffed haemodialysis catheters including translumbar and transhepatic.
6. Insertion of chemoports
7. Realtime ultrasonographic guided kidney biopsy (normal and plugged kidney biopsies).

Elective procedures requiring general anaesthesia are scheduled every Monday and performed in the general operation theatre.

For more information, please contact the DIN staff nurse at 603 6126 3333 extension 7001.

	Figure 6: DIN unit		Figure 7: Interventional Suite

Training

Its 3 years subspecialty nephrology training programme is designed to optimize educational experience in all field of nephrology including renal transplantation, critical care nephrology and interventional nephrology. The Department of Nephrology has been organising the Annual Diagnostics and Interventional Nephrology meeting since 2007 and received delegates from Singapore, Indonesia and Philippines.

For more information, please email to

Research

Department of Nephrology maintains a strong tradition in clinical research and has won several best research papers in national meetings. It is currently involved in several local, national and international multi center clinical studies.

Department of Nephrology, Hospital Selayang achieved several "First" in the country and includes:-

1. First haemodialysis unit to provide chronic haemodialfitration service in the country
2. Performed the first Y-tec peritoneoscopic insertion of tenckhoff catheter in Malaysia in 2005
3. Performed the first translumber cuffed haemodialysis catheter in Malaysia in 2006
4. Performed the first transhepatic cuffed haemodialysis catheter in Malaysia in 2007
5. Performed the first transvenous renal biopsy in Malaysia in 2008
6. Performed the first supine antero-lateral renal biopsy in Malaysia in 2008
7. Established the first diagnostics and interventional nephrology unit in 2009
8. Performed the first external iliac cuffed haemodialysis catheter in Malaysia in 2009
9. Performed the first external jugular cuffed haemodialysis catheter in Malaysia 2010
10. The fastest growing and largest peritoneal dialysis unit in the country since 2010
11. Introduce the novel modified Y-tec peritoneoscopic ("mini laparascopic") insertion technique of tenckhoff catheter in 2011

STAFF

 Head of Department and Senior Consultant Nephrologist

Dr Wong Hin Seng
MD, MRCP(UK), M.Med (Int Med), FRCP(Edin)
email address:

Consultant Nephrologists

Dr Bee Boon Cheak
MD, MRCP(UK)
email address:

Dr Goh Ching Yan
MBBS, MRCP(UK)
email address:

Dr Suryati Yakob
MD, MRCP(UK)
email address:

 Renal Registrar

Dr Mohd Kamil bin Ahmad
MD, M.Med (Int Med)
email address:

Dr Eason Chang
MD, MRCP(UK)
email address:

Dr Lee Jun
MBChB(NZ), MRCP(UK)
email address: