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Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2019; 73(5): 423–437. doi:10.14735/amgh2019423.

Nutritional diets in older gastroenterological patients with chronic kidney disease

Vladimír Teplan Orcid.org  1,2,3, Olga Marečková4

+ Affiliation

Summary

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

chronic kidney disease, modified restricted diet, gastrointestinal damage, old age

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