Peritoneal Dialysis Patients Have Higher Prevalence of Gastrointestinal Symptoms Than Hemodialysis Patients

Salamon, Karen; Woods, Julie; Paul, Eldho; Huggins, Catherine E.

doi:10.1053/j.jrn.2012.02.007

Cited by 42 publications

(51 citation statements)

References 35 publications

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“…Peritoneal dialysis patients reported significantly more nausea, vomiting, bloating, early satiety, anorexia, diarrhoea and heartburn than HD patients in the study by Salamon . Constipation was the only symptom that was not significantly different between the two modalities .…”

Section: Resultsmentioning

confidence: 64%

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Gastrointestinal symptoms in patients receiving dialysis: A systematic review

et al. 2018

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Section: Resultsmentioning

confidence: 64%

“…Constipation was the only symptom that was not significantly different between the two modalities . In addition, 53% of PD patients compared with 14% of HD patients reported decreased food intake as a result of GI symptoms and 34% of PD versus 9% of HD patients reported changing their diet to alleviate their symptoms …”

Section: Resultsmentioning

confidence: 87%

Gastrointestinal symptoms in patients receiving dialysis: A systematic review

et al. 2018

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“…Compared with HD, more PD patients reported that GI symptoms were related to the onset of dialysis. A greater number of PD patients (compared with HD patients) reported a reduction in food intake and changes in their dietary habits in an attempt to alleviate symptoms [11].…”

Section: Prevalencementioning

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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“…Moreover, in alignment with the study by Salamon et al . (), some individuals described self‐directed changes in eating behaviour to alleviate GI symptoms. These efforts helped participants to manage symptoms and adhere to dietary requirements with little difficulty, consistent with previously identified themes of accepting responsibility and valuing self‐management (Palmer et al .…”

Section: Discussionmentioning

confidence: 99%

Psychosocial consequences of gastrointestinal symptoms and dietary changes in people receiving automated peritoneal dialysis

Duncanson

Chur‐Hansen

Jesudason

2018

Journal of Renal Care

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SUMMARY Background Gastrointestinal (GI) symptoms are associated with poor psychosocial wellbeing among people receiving peritoneal dialysis (PD). The mind‐gut axis represents one possible explanatory mechanism for this relationship. Despite existing evidence, the individual's experience of GI symptoms and their potential psychosocial consequences have not been explored. Objective To understand the experiences of people receiving peritoneal dialysis regarding their gastrointestinal health and psychosocial wellbeing. Method Ten people undergoing automated PD (five females, five males) aged 31–77 years (Mean = 59.3, SD = 15.67) participated in a single one‐on‐one qualitative interview. Interviews ceased at thematic saturation. Transcripts were analysed using the framework approach. Results A central theme of Autonomy emerged from the data representing participants’ experiences of the psychosocial consequences of dialysis, GI symptoms, and dietary changes. This overarched two main themes: 1) Loss of Autonomy [Sub‐themes: Interference to Daily Life (Dialysis process and sleep, Impacts on relationships), Powerlessness, Frustration, Food Aversion, and Restriction (Friendships and social life, Impacts on partner)] and 2) Attempts to Gain Autonomy (Sub‐themes: Coping Well, Pragmatism, and Maintaining Normality). A related sub‐theme of Partner as a Carer emerged as part of Loss of Autonomy. Conclusion GI symptoms and diet and fluid restrictions have psychosocial consequences resulting in multiple losses of autonomy for people receiving PD, who employ strategies to attempt to regain autonomy in the face of these issues. Dietary and GI symptom management advice should aim to enhance patient autonomy within the confines of PD therapy and thus reduce its psychosocial impacts.

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Peritoneal Dialysis Patients Have Higher Prevalence of Gastrointestinal Symptoms Than Hemodialysis Patients

Cited by 42 publications

References 35 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

Psychosocial consequences of gastrointestinal symptoms and dietary changes in people receiving automated peritoneal dialysis

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