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Dyspepsia: an underestimated problem among end-stage renal disease patients

Dyspepsia: an underestimated problem among end-stage renal disease patients. Paulo Santos Federal University of Ceará, Brazil. Highly prevalent Great impact on quality of life. Prevalence. In the literature : between 50% and 70% VanVlem et al Am J Kidney Dis 2000; 36:962

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Dyspepsia: an underestimated problem among end-stage renal disease patients

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  1. Dyspepsia: an underestimated problem among end-stage renal disease patients Paulo Santos Federal Universityof Ceará, Brazil

  2. Highlyprevalent Great impactonqualityoflife

  3. Prevalence In theliterature: between50%and70% VanVlemetalAm J KidneyDis 2000; 36:962 Cano etalAm J Gastroenterol 2007 102:1990

  4. ImpactonQualityofLife PAIN GENERAL HEALTH VITALITY ROLE-EMOTIONAL MENTAL HEALTH Santos et al. Brazilian Congress of Nephrology 2012

  5. What is dyspepsia?

  6. Constellationofsymptoms • Upper abdominal pain; Nausea; Vomiting; Upper abdominal bloating; Earlysatiety • Tacket al. Gastroenterology 2006; 130:1466

  7. WHY? • Gastricemptyingdelay • Hypervolemia

  8. WHY? • Gastricemptyingdelay • Hypervolemia

  9. Clinicalimplications • It is veryeasy to search for symptomsofdyspepsia, so it shouldbedoneoften • Ourfindingraisesthequestionaboutthemain role ofprokinetics in dyspepsia cases

  10. WHY? • Gastricemptyingdelay • Hypervolemia

  11. WHY? • Gastricemptyingdelay • Hypervolemia

  12. Volemic status

  13. Clinicalimplications • Functional dyspepsia could be an alert of the need to revise the prescribed dry-weight of patients on HD • Dyspeptic symptoms could be another tool to help estimate the optimal dry weight of patients on HD

  14. IMPACTS ON NUTRITIONAL STATUS?

  15. Clinicalimplication • Screening of dyspeptic symptoms can be used as a tool for identification of patients on HD who are at risk of malnutrition

  16. prsantos@fortalnet.com.brwww.drpaulosantos.com.br

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