Abstract: TH-PO830

The Gastrointestinal Symptoms in Peritoneal Dialysis Patients

Session Information

  • Peritoneal Dialysis - I
    November 02, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Authors

  • Wang, I-kuan, China Medical University Hospital, Taichung, Taiwan
  • Kuo, Chin-Chi, None, Taichung, Taiwan
  • Huang, Chiu-Ching, China Medical University Hospital, Taichung, Taiwan
  • Chang, Chiz-Tzung, China Medical University, Taicunhg, Taiwan
Background

Gastrointestinal (GI) symptoms such as gastrointestinal reflux, constipation, indigestion, abdominal pain and diarrhea are common in peritoneal dialysis (PD) patients. Constipation is a risk factor of PD-related peritonitis. The aim of this study is to evaluate the prevalence of GI symptoms in PD patients.

Methods

Patients undergoing PD more than one month in China Medical University hospital was enrolled from July 2011 to March 2013. To evaluate the presence of GI symptoms, PD patients were asked to complete the gastrointestinal symptom rating scale (GSRS). The GSRS, a questionnaire, include 15 items, which could be classified into abdominal pain, reflux, diarrhea, indigestion, and constipation. Each item was rated as 0, 1, 2, and 3 according to severity.

Results

A total of 40 patients completed the questionnaire. The mean age was 49.58 ± 11.49 years. The duration of PD was 43.26 ± 31.47 months. 21 (52.5%) patients were female. The etiology of ESRD includes chronic glomerulonephritis (19 patients, 46.3%), diabetes (8 patients, 20%), hypertension (6 patients, 15%), chronic tubulointerstitial nephritis (4 patients, 10%) and polycystic kidney disease (3 patients, 7.5%). Only 3 patients (7.5%) have no GI symptoms. The prevalence of abdominal pain, reflux, diarrhea, indigestion, and constipation was 40% (16 of 40), 35% (14 of 40), 37.5% (15 of 40), 77.5% (31 of 40), and 62.5% (25 of 40). The prevalence of 0, 1, 2, 3, 4, 5 GI symptoms was 7.5% (3 of 40), 15% (6 of 40), 30% (12 of 40), 20% (8 of 40), 20% (8 of 40), and 7.5% (3 of 40), respectively.

Conclusion

GI symptoms are highly prevalent in PD patients. Medical staffs have to pay attention to and take good care of these GI problems

  
  

Figure 1. The prevalence and grading of gastrointestinal symptoms in peritoneal dialysis patients according to the gastrointestinal symptom rating scale.