Nutritional diets in older gastroenterological patients with chronic kidney disease

Czech version

Authors: V. Teplan ^{1 4}; Marečková O. ⁵
Authors‘ workplace: Klinické a výzkumné centrum pro idiopatické střevní záněty ISCARE I. V. F. a. s., Praha ¹; 1. LF UK, Praha ²; Subkatedra nefrologie, Institut postgraduálního vzdělávání ve zdravotnictví, Praha ³; Katedra interních oborů a Interní klinika FN LF OU, Ostrava ⁴; Klinika nefrologie, Transplantcentrum, IKEM, Praha ⁵
Published in: Gastroent Hepatol 2019; 73(5): 423-437
Category:
doi: https://doi.org/10.14735/amgh2019423

Overview

The number of elderly patients with chronic kidney disease and another disease including gastrointestinal damage has remarkably increased over the past decades. Despite developments in dialysis technology and kidney transplantation, these approaches are unsuitable for a growing number and medical complications of elderly patients. Recently published data demonstrated successful management and positive long-term effect of special protein-restricted diet supplemented with keto amino acids in elderly. Diet management should be modified with the respect of the other underlying disease, mainly gastrointestinal pathology, and potential disorders in water and mineral metabolism. Based on our re-analysis of 3,000 patients from previous study, this approach has good compliance and a low risk of malnutrition.

Keywords:

old age – gastrointestinal damage – modified restricted diet

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