Setyapranata Stella, Holt Stephen G
Royal Melbourne Hospital, Melbourne, Australia.
Royal Melbourne Hospital, Melbourne, Australia The University of Melbourne, Melbourne, Australia
Perit Dial Int. 2015 Nov;35(6):650-4. doi: 10.3747/pdi.2014.00341.
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.
腹膜透析（PD）患者需要考虑胃肠道症状的年龄相关变化。食欲减退与衰老有关，肾衰竭和PD治疗可能会使其加重，这意味着关注老年患者的饮食充足性很重要。便秘及其治疗可能会增加腹膜炎的风险，但对舒适度以及无故障透析也很重要。憩室病随年龄增长而增加，虽然这种疾病的模式可能存在种族差异，但关于无症状疾病与腹膜炎风险的证据相互矛盾。疝气、尿失禁和脱垂也很常见，且PD会使其加重，因此在开始治疗前了解这些问题很重要。虽然围绕这些主题的数据很少，一些研究相互矛盾，但进一步了解这些问题并考虑缓解策略可能会提高技术生存率和生活质量。
