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When ESKD complicates disease management: GI bleeding and other GI illnesses
1Department of Nephrology, Vanderbilt University Medical Center, Nashville, TN, USA.
Seminars in Dialysis
|April 11, 2020
Summary
Gastrointestinal (GI) illnesses present similarly in end-stage kidney disease (ESKD) patients, but kidney failure and renal replacement therapy (RRT) significantly impact disease course and management strategies. Unique ESKD factors and RRT modalities are crucial for effective GI disease treatment.
Area of Science:
- Nephrology
- Gastroenterology
Background:
- Gastrointestinal (GI) illnesses manifest similarly in end-stage kidney disease (ESKD) patients and the general population.
- Kidney failure and renal replacement therapy (RRT) introduce unique complexities in GI disease presentation and management.
Purpose of the Study:
- To highlight unique factors of GI illnesses in the ESKD population.
- To discuss the influence of residual kidney function (RKF) and RRT modalities on GI disease in ESKD patients.
Main Methods:
- Review of existing literature and clinical considerations for GI disease in ESKD.
- Analysis of how RRT modalities affect GI disease occurrence and treatment.
Main Results:
- GI symptoms in ESKD often mirror those in the general population.
- ESKD and RRT introduce specific challenges and considerations for GI disease management.
Conclusions:
- Understanding the interplay between ESKD, RKF, RRT, and GI disease is vital for optimal patient care.
- Tailored management strategies are necessary for GI illnesses in the ESKD population.
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