İbrahim DOĞAN, Sultan ÖZKURT, Nur ÜNAL KAYA, Mehtap ODABAŞ, Hüseyin KAYADİBİ

Aletli Periton Diyalizi ve Sürekli Ayaktan Periton Diyalizi Hastalarında Gastroözofajiyal Reflü Hastalığının Değerlendirilmesi

Amaç: Bu çalışmada iki ayrı periton diyalizi uygulaması olan sürekli ayaktan periton diyalizi (SAPD) ve aletli periton diyalizinin (APD) gastroözofajiyal reflü hastalığı (GÖRH) insidansına ve ilişkili olduğu faktörlere etkisini değerlendirmeyi amaçladık. Yöntemler: Çalışmaya APD tedavisi uygulanan 17 hasta ve SAPD tedavisi uygulanan 34 hasta dahil edildi. Hastaların gastrointestinal sistem şikayetleri, özgeçmiş özellikleri ve kullandıkları ilaçlar yüz yüze görüşme yöntemiyle elde edildi. Anket formu, bireylerin sosyodemografik özelliklerini, GÖRH ile ilişkili olduğu düşünülen bazı faktörler ile ilgili soruları içermekteydi. GÖRH değerlendirilmesinde National Institutes of Health PROMIS GERD Ölçeği kullanıldı. Bulgular: 51 hasta çalışmaya dahil edildi (31’i (%60.8) erkek, 20’si (%39.2) kadın). Hastaların yaşları 18-77 arasında değişmekte olup, ortalama 53±15 yıldı. Eğitim düzeyine göre hastaların 34’ü (%66.7) ilköğretim mezunu olup en büyük bölümü oluştururken, sadece 4’ü (%7.8) okuryazar değildi. Tüm hastalarda GÖRH sıklığı %31.4 oranında tespit edildi. GÖRH sıklığı APD uygulayan hastalarda %23.5, SAPD uygulayan hastalarda ise %35.3 olup, SAPD uygulayan hastalarda oran daha yüksekti, ancak aralarında istatistiksel olarak anlamlı fark yoktu (p= 0.594). GÖRH olanlarla olmayanlar arasında yaş, cinsiyet, rezidü renal fonksiyon varlığı, günlük ortalama PD sıvı miktarı ve ultrafiltrasyon miktarı açısından fark bulunmadı. Sonuç: Periton diyalizi hastalarında GÖRH sıklığı %31.4 olup, APD ve SAPD modalitelerinin GÖRH sıklığı üzerine etkisi benzer bulunmuştur.

Anahtar Kelimeler:

Aletli periton diyalizi, Gastroözofajiyal reflü hastalığı, Kronik böbrek hastalığı, Sürekli ayaktan periton diyalizi

Evaluation of Gastroesophageal Reflux Disease in Patients Treated with Automated Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis

Objective: In this study, we aimed to evaluate the effects of continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) on gastroesophageal reflux disease (GERD) and its associated factors. Methods: The study included 17 patients underwent APD and 34 patients took CAPD treatment. Face-to-face interview method was used to determine the patients' gastrointestinal system complaints, resume characteristics and medical therapies. The questionnaire included questions about the sociodemographic characteristics of individuals, some factors that were thought to be related to GERD. National Institutes of Health PROMIS GERD Scale was used for the evaluation of GERD. Results: Fifty-one patients [31(60.8%) male and 20(39.2%) female] were enrolled the study. Ages of the patients ranged from 18 to 77 years with a mean of 53±15 years. According to the level of education, 34 (66.7%) of the patients were primary school graduates and constituted the largest part, only 4 (7.8%) were illiterate. The incidence of GERD was 31.4% in all patients. The incidence of GERD was 23.5% in patients treated with APD and 35.3% in patients treated with CAPD. Although patients with CAPD had a higher GERD incidence, the difference was not statistically significant (p= 0.594). There was no statistically significant difference between the patients with and without GERD in terms of age, gender, presence of residual renal function, daily mean PD fluid amount, daily mean ultrafiltration amount. Conclusion: The incidence of GERD in patients with peritoneal dialysis was 31.4%, and the effect of APD and SAPD modalities on GERD frequency found similar.

Keywords:

Automated peritoneal dialysis, Chronic kidney disease, Continuous ambulatory peritoneal dialysis, Gastroesophageal reflux disease,

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Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2004
Yayıncı: Türk Nefroloji, Diyaliz ve Transplantasyon Hemşireleri Derneği

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