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2015 ; 35
(6
): 650-4
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The Gut in Older Patients on Peritoneal Dialysis
#MMPMID26702007
Setyapranata S
; Holt SG
Perit Dial Int
2015[Nov]; 35
(6
): 650-4
PMID26702007
show ga
Age-related changes in gastrointestinal symptoms need to be considered in
peritoneal dialysis (PD) patients. A diminishing appetite is associated with
aging and may be exacerbated by renal failure and PD treatment, meaning that
attention to dietary adequacy is important in the older patient. Constipation and
its treatment may increase the risk of peritonitis, but is important for comfort
as well as trouble-free dialysis. Diverticulosis increases with age, and whilst
there may be ethnic differences in the patterns of this condition, there is
conflicting evidence regarding the risks of peritonitis associated with
asymptomatic disease. Hernias, urinary incontinence, and prolapse are also common
and made worse by PD, so it is important to know about these issues prior to
starting. Whilst data around these topics are scant and some studies conflicting,
further understanding these issues and considering mitigation strategies may
improve technique survival and quality of life.
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