Sclerosing encapsulating peritonitis after peritoneal dialysis

Cestari, Alexandre Tagliari; Conti, Marina Lourenço de; Prats, João Antônio Gonçalves Garreta; Sato, Henri; Abensur, Hugo

doi:10.5935/01012800.20130010

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…A via final deste processo inflamatório é a peritonite esclerosante, que, na sua forma mais grave, associa-se com quadros de oclusão intestinal e é chamada de esclerose peritoneal encapsulante. 14 Para a profilaxia e tratamento das lesões peritoneais, têm sido estudadas diversas medidas, como: emprego de soluções de diálise mais biocompatíveis, agentes antioxidantes como a n-acetilcisteína, 15 agentes antifibróticos como o tamoxifeno, 16 imunossupressores, 16 corticoides, entre outras. A ativação do SRA está associada com fibrose, principalmente pelo aumento de produção de TGFβ.…”

Section: Bloqueio Do Sistema Renina Angiotensina Em Diálise Peritonealunclassified

Blockage of the renin-angiotensin system in peritoneal dialysis

Abensur¹

2013

Jornal Brasileiro De Nefrologia

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Section: Bloqueio Do Sistema Renina Angiotensina Em Diálise Peritonealunclassified

Blockage of the renin-angiotensin system in peritoneal dialysis

Abensur¹

2013

Jornal Brasileiro De Nefrologia

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“…Studies have demonstrated some variation in the incidence of EPS; however, they have agreed that the risk increases with time spent on PD. Clear guidelines for successful management remain elusive [ 9 , 10 ]. Herein, we present a patient who developed multiple complications after kidney transplantation due to EPS and described its successful management.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Encapsulating Peritoneal Sclerosis: A Case Report in Kidney Transplant Patient

Shahbazov

Talanian

Alejo

et al. 2018

Case Reports in Surgery

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Introduction Encapsulating peritoneal sclerosis (EPS) is a clinical syndrome of progressive fibrotic change in response to prolonged, repetitive, and typically severe insult to the peritoneal mesothelium, often occurring in the setting of peritoneal dialysis (PD). Clear guidelines for successful management remain elusive. We describe the successful surgical management of EPS in a 28-year-old male s/p deceased donor kidney transplant for end-stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS). This patient received PD for 7 years but changed to hemodialysis (HD) in the year of transplant due to consistent signs and symptoms of underdialysis. EPS was visualized at the time of transplant. Despite successful renal transplantation, EPS progressed to cause small bowel obstruction (SBO) requiring PEG-J placement for enteral nutrition and gastric decompression. The patient subsequently developed a chronic gastrocutaneous fistula necessitating chronic TPN and multiple admissions for pain crises and bowel obstruction. He was elected to undergo surgical intervention due to deteriorating quality of life and failure to thrive. Surgical management included an exploratory laparotomy with extensive lysis of adhesions (LOA), repair of gastrocutaneous fistula, and end ileostomy with Hartmann's pouch. Postoperative imaging confirmed resolution of the SBO, and the patient was transitioned to NGT feeds and eventually only PO intake. He is continuing with PO nutrition, gaining weight, and free from dialysis. Conclusion Surgical intervention with LOA and release of small intestine can be successful for definitive management of EPS in the proper setting. In cases such as this, where management with enteral nutrition fails secondary to ongoing obstructive episodes, surgical intervention can be pursued in the interest of preserving quality of life.

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Measurement of the stiffness of the normal terminal ileum mesentery using shear-wave elastography

Xia

et al. 2023

European Journal of Radiology

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Sclerosing encapsulating peritonitis after peritoneal dialysis

Cited by 5 publications

References 10 publications

Blockage of the renin-angiotensin system in peritoneal dialysis

Blockage of the renin-angiotensin system in peritoneal dialysis

Surgical Management of Encapsulating Peritoneal Sclerosis: A Case Report in Kidney Transplant Patient

Measurement of the stiffness of the normal terminal ileum mesentery using shear-wave elastography

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