Abstract

Peritoneal dialysis (PD) has remained a cornerstone in renal replacement therapy since 1794, leveraging the peritoneal membrane to effectively filter toxins and excess fluid. Offering patients flexibility and autonomy, PD allows for treatment at home or amidst daily routines. However, persistent challenges such as PD-related infections and catheter insertion obstacles necessitate ongoing strategies like biocompatible solutions and improved catheter designs to mitigate risks. Concurrently, patient education and telemedicine play pivotal roles in enhancing PD management.

In recent years, the surge in veganism, a lifestyle advocating for the elimination of animal exploitation, has been notable. Vegan diets, characterized by plant-based foods and the exclusion of animal products, hold promise for various health benefits, particularly in chronic kidney disease (CKD) management. While studies suggest potential advantages such as delaying the need for dialysis and improving cardiovascular health in CKD patients, the impact of vegan diets on end-stage kidney disease (ESKD) patients undergoing PD remains uncertain.

PD patients encounter diverse challenges, including volume overload and constipation, which can be addressed through dietary modifications such as sodium restriction and increased fiber intake. Vegan diets, typically low in sodium and rich in fiber, may offer advantages in managing these complications. Additionally, they have been associated with benefits like weight loss, improved gut health, and reduced inflammation, which could potentially benefit PD patients.

However, concerns regarding nutrient deficiencies, particularly in vitamin D and vitamin B12, highlight the need for careful monitoring and supplementation in vegan diets. Further investigation is warranted to assess the suitability of vegan diets for PD patients comprehensively. Nutrition education and counseling are crucial for optimizing dietary choices and enhancing outcomes in PD patients. Understanding the intricate relationship between vegan diets and PD outcomes is imperative for delivering holistic care to this patient population.