Gastrointestinal symptoms predict peritonitis rates in CAPD patients

Su, Chunyan; Perucho, Juan; Lu, Xin-Hong; Tang, Wen; Wang, Tao

doi:10.5414/cn107249

Cited by 34 publications

(31 citation statements)

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“…Eight studies looked at PD patients, where prevalence ranged from 14.2% to 90.3% . Constipated dialysis patients were found to have lower HR‐QoL scores,and constipated PD patients were also at greater risk of peritonitis …”

Section: Resultsmentioning

confidence: 99%

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Gastrointestinal symptoms in patients receiving dialysis: A systematic review

et al. 2018

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Section: Resultsmentioning

confidence: 99%

“…20 Constipated dialysis patients were found to have lower HR-QoL scores, 2 and constipated PD patients were also at greater risk of peritonitis. 24 Symptom prevalence sensitive analysis for studies with Newcastle Ottawa Score >5, and for studies using the GSRS are presented in tables 4 and 5 respectively.…”

Section: All Gi Symptomsmentioning

confidence: 99%

Gastrointestinal symptoms in patients receiving dialysis: A systematic review

et al. 2018

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“…PD patients with peritonitis episodes present in general less GI symptoms, a lower dialysis vintage and a worse nutritional status compared to the ones without this serious complication, with belching and constipation, as the strongest predictors of peritonitis [29]. Diverticulosis A major controversy exists concerning the association between colonic diverticulosis and the risk for enteric peritonitis.…”

Section: Intestinal Disordersmentioning

confidence: 99%

Gastrointestinal Disorders in Peritoneal Dialysis Patients

et al. 2018

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Background: Gastrointestinal (GI) disorders in peritoneal dialysis (PD) patients are relatively understudied in the literature, even though they have a serious impact in the morbidity parameters and the quality of life for this group of patients. Various diagnostic tools have been used, including instrumental methods and questionnaires, invariably validated in comparative studies. Summary: The prevalence of GI disorders is very high in PD patients. Compared to the haemodialysis patients they present a higher prevalence of reflux, eating dysfunction, gastroesophageal reflux, intestinal obstruction or adhesions and abdominal hernia. They may be divided into Gastric disorders (Gastroesophageal reflux disease, pathological Gastric emptying, Dyspepsia, Helicobacter pylori infection, peptic ulcers) and Intestinal disorders (Peritonitis, Diverticulosis, Constipation). Key Messages: The current paper is a review of the literature involving GI disorders in PD patients. This special group of patients with a special role of the peritoneal cavity and the GI motility in the physiology of their dialysis merit a larger number of studies dealing with the interrelation of the GI tract and the PD physiological, functional and pathophysiological parameters.

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“…Fan et al [16] reported that hypokalemia based on the potassium levels, measured within 1 to 3 months of the start of peritoneal dialysis therapy, was not associated with the risk for the first episode of peritonitis. Su et al [13] also showed that hypokalemia based on the potassium levels, measured only at the time of symptoms survey, was not associated with a first peritonitis episode during the follow-up period. Murata et al [11] indicated that lower potassium level, based on the four-month mean immediately before the episode of peritonitis, was associated with a poor therapeutic response of peritonitis in case-control study.…”

Section: Trial Characteristics and Outcomementioning

confidence: 99%

“…The study by Ribeiro et al [12] was well designed for our purposes and performed a propensity score analysis to account for any underlying differences between patients with a timeaveraged potassium under 3.5 mEq/L and others. Although the study with the lowest risk of bias by Su et al [13] excluded cases with acute complication including peritonitis occurred in the previous month, Su et al [13] and Chuang et al [14] had no description about the history of peritonitis. Peritonitis was not present at the start of the other three studies [12,15,16], which included only incident cases of peritoneal dialysis (Table 2).…”

Section: Risk-of-bias and Quality Assessmentmentioning

confidence: 99%

Impact of hypokalemia on peritonitis in peritoneal dialysis patients: a systematic review

et al. 2017

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AbstractsBackground: Hypokalemia is a common electrolyte disorder in peritoneal dialysis patients. Some studies showed the association of serum potassium levels with all-cause and cardiovascular mortality and infection. This review aims to clarify the relationship of hypokalemia and peritonitis in peritoneal dialysis. Methods: The MEDLINE and Cochrane Library databases were searched for articles published from 1990 to May 2016. The following search terms were used: hypokal(a)emia, potassium, peritoneal dialysis, peritonitis, and infection. Additional studies were identified by hand searching through references and using the MEDLINE-related articles option. Two investigators independently selected studies using predefined criteria and assessed each study's quality using the Newcastle-Ottawa Quality Assessment Scale. Results: A total of 159 abstracts were identified and 6 trials were included in the systematic review (n = 3613). One national prospective study and two retrospective single-center studies indicated that hypokalemia increases the risk of peritonitis, whether two single-center studies indicated otherwise. One case-control study indicated that lower potassium level was associated with a poor therapeutic outcome in peritonitis.

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Gastrointestinal symptoms predict peritonitis rates in CAPD patients

Cited by 34 publications

References 0 publications

Gastrointestinal symptoms in patients receiving dialysis: A systematic review

Gastrointestinal symptoms in patients receiving dialysis: A systematic review

Gastrointestinal Disorders in Peritoneal Dialysis Patients

Impact of hypokalemia on peritonitis in peritoneal dialysis patients: a systematic review

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