Table of contents

  1. Front Matter
    Pages I-XIII
  2. Professor Nils Alwall — In Memoriam

    1. H. Klinkmann, C. M. Kjellstrand
      Pages 1-2
  3. The First 25 Years

    1. Front Matter
      Pages 3-3
    2. B. H. Scribner, S. Ahmad, A. L. Babb, J. J. Cole
      Pages 5-27
    3. W. J. Kolff
      Pages 28-50
  4. Therapies

  5. Technology

    1. Front Matter
      Pages 109-109
    2. G. von Sengbusch, H. D. Lemke, J. Vienken
      Pages 111-124
    3. H. Klinkmann, D. Falkenhagen, J. M. Courtney
      Pages 125-140
    4. P. C. Farrell
      Pages 141-153
  6. Nephrological Issues

    1. Front Matter
      Pages 155-155
    2. R. H. Heptinstall
      Pages 157-163
    3. D. K. Peters
      Pages 164-169
    4. G. E. Schreiner
      Pages 170-184
  7. Contemporary Survey

    1. Front Matter
      Pages 185-185
    2. Clark K. Colton
      Pages 187-217
    3. A. J. Wing, N. H. Selwood, F. P. Brunner
      Pages 252-265
  8. Future Prospects

    1. Front Matter
      Pages 267-267
    2. E. A. Friedman
      Pages 281-288
  9. Conclusion

    1. V. Bonomini
      Pages 289-289
  10. Back Matter
    Pages 291-294

About this book


Little doubt exists that hemodialysis represents a major event in the course of modern medicine. Technologies which had previously been considered heroic or appropriate only in intensive care settings became so commonplace as to be conducted at home or in limited-care settings. The chronic anephric mammal, absent from the Darwinian evolution, was created and grew rapidly in number to a total population base of nearly one-quarter million. The physiology of this new "species" was defined, and methods of managing its pathophysiologies were developed and refined. A subspeciality of medicine and a multi-billion dollar industry were born. And the requisite dedication of resources, effort, and man­ power raised hitherto unheard questions about the limits to growth of high­ technology on medicine. At Rottach-Egern, a small village nestled in the foothills of the Bavarian Alps, many (perhaps most) of the founders and pioneers of renal dialysis assembled in June of 1986 in order to reflect upon the progress and problems of the first 25 years of hemodialysis and to establish vectors and directions for the coming quarter century. Sadly missing were Drs. Nils Alwall and John Merrill who died during the years this conference was in planning. But present and active were Drs. Kolff and Scribner, whose breakthrough contributions represent the cardi­ nal landmarks of the development of contemporary End Stage Renal Disease therapy.


dialysis hemodialysis intensive care pathophysiology physiology transplantation

Editors and affiliations

  • Hans Jürgen Gurland
    • 1
  1. 1.Klinikum Großhadern Medizinische Klinik I Nephrologische AbteilungLudwigs-Maximilians-Universität MünchenMünchen 70Germany

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 1987
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-72722-1
  • Online ISBN 978-3-642-72720-7
  • Buy this book on publisher's site