What Affects The Gastrointestinal Symptoms In Peritoneal Dialysis Patients?
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Main Category: GastroIntestinal / Gastroenterology
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Gastrointestinal (GI ) symptoms are proved to be more vulgar in patients undergoing peritoneal dialysis than in patients with inveterate nephritic bankruptcy having haemodialysis. However, whether the onrush of these GI symptoms is related to the inveterate nephritic loser itself, its discussion, or instead, early factors, is lull strange.
A search clause promulgated in the World Journal of Gastroenterology addresses this job. The inquiry squad led by Professor Guo from the Nephrology section of Changhai Hospital, Second Military Medical University put-upon the Gastrointestinal Symptom Rating Scale, which is a self-administered questionnaire, includes 15 items and uses a 7-grade Likert scurf outlined by descriptive anchors such that 1=none, 2=minor, 3=mild, 4=moderate, 5=moderately serious, 6=severe, and 7=very spartan soreness, to assess the comportment of gi symptoms in peritoneal dialysis patients. As versatile enquiry groups get indicated a higher preponderance of gi symptoms in patients undergoing peritoneal dialysis than in patients with inveterate nephritic loser having haemodialysis, the clause farther investigates the potential correlative factors touching the gi symptoms in peritoneal dialysis patients by victimisation multiple retrogression psychoanalysis.
The preponderance of feeding disfunction, ebb and dyspepsia in peritoneal dialysis patients was 44.2%, 32.7%, 32.7%, severally. A account of corticoid therapy and the issue of all pills the patients took day-after-day were positively correlate to GI symptoms, piece residuary nephritic Kt/V was negatively correlative to GI symptoms.
These findings indicated that gi symptoms in peritoneal dialysis patients were more correlative with continuing nephritic bankruptcy itself and former treatment-associated factors, but not with peritoneal dialysis-associated factors. Residual nephritic use is not but an exponent regarding the azotaemia itself but an exponent predicting complications. Iatrogenic factors were another scene impacting the gi symptoms in peritoneal dialysis patients, including the pre-dialytic therapy and auxiliary therapy during peritoneal dialysis.
Reference:
Dong R, Guo ZY. Gastrointestinal symptoms in patients undergoing peritoneal dialysis: Multivariate psychoanalysis of correlative factors. World J Gastroenterol 2010; 16(22): 2812-2817
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