Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Nov;35(6):650-4.
doi: 10.3747/pdi.2014.00341.

The Gut in Older Patients on Peritoneal Dialysis

Stella Setyapranata  1 , Stephen G Holt  2
Affiliations
Review

The Gut in Older Patients on Peritoneal Dialysis

Stella Setyapranata et al. Perit Dial Int. 2015 Nov.

Abstract

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.

Keywords: Peritoneal dialysis; appetite; constipation; diverticular disease; gut.

PubMed Disclaimer

References

    1. Donini LM, Savina C, Cannella C. Eating habits and appetite control in the elderly: the anorexia of aging. Int Psychogeriatr 2003; 15(1):73–87. - PubMed
    1. Luis D, Huang X, Sjögren P, Risérus U, Ärnlöv J, Lindholm B, et al. Renal function associates with energy intake in elderly community-dwelling men. Br J Nutr 2014; 111(12):2184–9. - PubMed
    1. Chang TI, Kang EW, Lee YK, Shin SK. Higher peritoneal protein clearance as a risk factor for cardiovascular disease in peritoneal dialysis patient. PLOS ONE 2013; 8(2):e56223. - PMC - PubMed
    1. Huang B, Zhou Z, Xu H, Wang H, Liu B, Yang W, et al. Diminished appetite predicts mortality in Chinese peritoneal dialysis patients. Biol Res Nursing 2013; 16(3):241–9. - PubMed
    1. Hylander B, Barkelling B, Rossner S. Changes in patients' eating behavior: in the uremic state, on continuous ambulatory peritoneal dialysis treatment, and after transplantation. Am J Kidney Dis 1997; 29(5):691–8. - PubMed

Publication types

MeSH terms