The Department of Renal Medicine, Singapore General Hospital
is a premier referral centre for the evaluation and management of a range of
renal diseases. It is comprised of five sub-specialty
clinical services that include Clinical Nephrology, Haemodialysis, Peritoneal
Dialysis, Critical Care Nephrology, Renal
Transplantation and Interventional Nephrology.
The current head of the department is Dr Marjorie Foo Wai Yin.
The Clinical Nephrology Service provides for the evaluation
and management of all types of renal diseases including glomerulonephritis,
diabetic nephropathy and hypertension. Referral clinics in this subspecialty
also provide for evaluation of urinary abnormalities, urinary tract infections,
polycystic kidney disease and other renal conditions. The Service provides Real
time Ultrasound-guided renal biopsy and 24 hour Ambulatory Blood Pressure
monitoring as indicated for management of patients.
The director in charge of haemodialysis centre is Dr Sheryl Gan.
The Haemodialysis Service provides haemodialysis for patients with end
stage kidney failure who are admitted to hospital and evaluates and manages
patients with complications from haemodialysis. In addition, the Service
manages patients with acute renal failure requiring temporary acute
haemodialysis or Continuous Renal Replacement Therapy, including Slow
Continuous Ultrafiltration, Haemodialfiltration, Haemofiltration and its
variants. Facilities for charcoal hemoperfusion are also available for cases of
A state of the art Dialysis Centre, comprised of a
20-station unit, running at 3 shifts a day, with additional stations for
isolation, caters to standard bicarbonate haemodialysis as well as heparin free
haemodialysis, dialysis with sodium modeling and isolated ultrafiltration for
inpatients with special needs.
The director in charge of peritoneal centre is Dr Marjorie
Foo. The Continuous Peritoneal Dialysis Service provides training and education
for patients with end stage kidney failure accepted into the PD programme and
is the regional referral centre for training in both Continuous Ambulatory
Peritoneal Dialysis (CAPD) and Automated Peritoneal Dialysis (APD). PD patients
receive prescribed dialysis suited for their needs and lifestyle. Modified
dialysis regimens including amino acid-based or Icodextrin-based dialysates are
offered to meet unique needs of patients. The CAPD Day Unit caters to the
training needs of PD patients and provides for the evaluation and management of
patients with complications of Continuous Peritoneal Dialysis.
The Director in charge of Critical
Care Nephrology service is Dr Manish Kaushik. The Critical Care Nephrology
service provides acute extra-corporeal blood purification services, for
critically ill patients with acute or chronic kidney injury admitted to the
Intensive Care Units (ICUs), High Dependency Units or Intermediate Care Areas
The Director of Renal Transplantation is Dr Terence Kee. The
Renal Transplantation Service provides a comprehensive service for the management
of patients undergoing kidney transplantation. It evaluates kidney failure
patients for suitability for living donor or cadaveric kidney transplantation
and assesses suitability of potential donors for kidney donation. The program
coordinates the preparation of patients for transplantation and provides full
investigation and management of patients after transplantation. A Transplant
Resource Centre serves as a Help Centre for transplant patients to access
information regarding their care. The Centre also provides for an ongoing
educational program for transplant patients to help prevent complications after
transplant and to optimize outcomes.
The Director- in charge of
Interventional Nephrology service is Dr Tan Chieh Suai. The
Interventional Nephrologist Service provides a comprehensive service for the
management of renal patients undergoing insertion and removal of dialysis
catheter. Renal Biopsy is also performed in the nephrologist suite to evaluate
the cause of end stage renal disease.
The Department also manages three non-clinical areas, namely
the Organ Transplant Unit, Renal Registry and Coordinator Unit and the Renal
Laboratories. The Organ Transplant Unit coordinates the transplant activities
for the Ministry of Health, Singapore, including management of the data base
for the Organ Donor Register and other Registers and coordinates Organ
Procurement activities. It provides the necessary infrastructure to coordinate
organ and tissue procurement in the nation under a single body. The Manager in
charge of this unit is Ms Lu York Moi.
The Renal Registry and Coordinator Unit provides patient
education to renal patients in terms of self-care, retardation methods,
dialysis counseling, application for subsidized dialysis and provides case
management for renal patients. The unit also manages the registry for the End
Stage Renal Disease patients. The Manager in
charge of this unit is Ms Lydia Lim Wei Wei.
The Renal Laboratories provide clinical support for the
performance and processing of renal tissues for biopsy and histopathology. In
addition, the laboratories perform studies on urine immunoelectrophoresis to
aid in the management of glomerular diseases. Research in immunochemistry,
immunology in glomerular disease and transplantation, and molecular biology and
genetics of renal disorders is supported by the laboratories. The person in charge of Renal Lab is Ms Chin
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