Paulo Santos Federal University of Ceará Brazil Highly prevalent Great impact on quality of life Prevalence In the literature between 50 and ID: 719044
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Slide1
Dyspepsia: an underestimated problem among end-stage renal disease patients
Paulo SantosFederal University of Ceará, BrazilSlide2
Highly
prevalentGreat
impact on
quality
of
lifeSlide3
Prevalence
In the literature:between 50%
and 70%
VanVlem
et
al
Am
J
Kidney
Dis
2000; 36:962
Cano
et
al
Am
J
Gastroenterol
2007 102:1990Slide4
Impact on
Quality of Life
Santos et al. Brazilian Congress of Nephrology 2012
PAIN
GENERAL HEALTH
VITALITY
ROLE-EMOTIONAL
MENTAL HEALTHSlide5
What is dyspepsia
?Slide6
Constellation
of symptomsUpper abdominal pain; Nausea; Vomiting; Upper abdominal
bloating; Early satiety
Tack
et
al.
Gastroenterology
2006; 130:1466Slide7
WHY?
Gastric emptying delay
HypervolemiaSlide8
WHY?
Gastric emptying delay
HypervolemiaSlide9Slide10Slide11Slide12Slide13Slide14Slide15Slide16Slide17
Clinical implications
It is very easy to search for symptoms
of dyspepsia, so
it
should
be
done
often
Our
finding raises the question about
the main role of prokinetics in dyspepsia casesSlide18
WHY?
Gastric emptying delay
HypervolemiaSlide19
WHY?
Gastric emptying delay
HypervolemiaSlide20
Volemic statusSlide21Slide22Slide23
Clinical implications
Functional dyspepsia could be an alert of the need to revise the prescribed dry-weight of patients on HDDyspeptic symptoms could be another tool to help estimate the optimal dry weight of patients on HDSlide24
IMPACTS ON NUTRITIONAL STATUS?Slide25Slide26Slide27
Clinical implication
Screening of dyspeptic symptoms can be used as a tool for identification of patients on HD who are at risk of malnutritionSlide28Slide29
prsantos@fortalnet.com.br
www.drpaulosantos.com.br