Sclerosing encapsulating peritonitis associated with continuous ambulatory peritoneal dialysis: Surgical management

Smith, Lawrence; Collins, John; Morris, Mindy; Teele, Rita L.

doi:10.1016/s0272-6386(97)90210-9

Cited by 52 publications

(30 citation statements)

References 10 publications

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“…In keeping with previous reports, the majority of symptoms reported were those resulting from partial or total occlusion of the intestinal lumen [14], namely pain (usually colic), vomiting, abdominal distension, or weight loss. In the severe cases, necessity for surgical treatment was caused by complete intestinal obstruction, secondary peritonitis, gut-related sepsis, or gut ischemia.…”

Section: Discussionsupporting

confidence: 88%

“…If obstruction of the intestine does not resolve, intestinal dilatation and mural ischemia may develop, resulting in bacterial translocation, systemic inflammatory response syndrome (SIRS), sepsis, or even frank peritonitis [8]. This progression is frequently fatal without surgical treatment and, unfortunately, many patients reach this stage before the diagnosis is confirmed [13,14].…”

mentioning

confidence: 99%

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Single-center experience of encapsulating peritoneal sclerosis in patients on peritoneal dialysis for end-stage renal failure

Summers

Clancy

Syed

et al. 2005

Kidney International

137

131

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

Single-center experience of encapsulating peritoneal sclerosis in patients on peritoneal dialysis for end-stage renal failure

Summers

Clancy

Syed

et al. 2005

Kidney International

137

131

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“…Some studies, mostly case reports, have described the utility of laparoscopic evaluation in patients with EPS [18][19][20] , and Iwamoto et al [17] reported significant worsening of macroscopic findings on laparoscopy in patients with approximately 4-year PD vintage (in Japanese). However, no studies have yet described the association between laparoscopic findings and certain predictive factors, including histopathological changes.…”

Section: Discussionmentioning

confidence: 99%

“…We referenced previous reports classifying macroscopic findings using 4 parameters (peritoneal appearance, hypervascular change, adhesion and encapsulation) [17,18] . As there is no available literature about scoring peritoneal macroscopic findings except one (in Japanese), we intended to simplify semi-quantitative scoring method in order to make the evaluation of macroscopic findings more objective.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopy Reveals a Diversity of Peritoneal Change in Patients with Long-Term Vintage of Peritoneal Dialysis

Sasaki

Mizuno²,

Iwamoto³

et al. 2015

Blood Purif

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Background: Although laparoscopy may provide more detailed morphological and histological information about peritoneal damage, its significance in patients with long vintage of peritoneal dialysis (PD) is not elucidated. Methods: Findings in 12 patients with PD vintage of 7.3 (5.0-8.4) years who had undergone laparoscopy between 2007 and 2011 were reviewed. Macroscopic (peritoneal change, hypervascular change, adhesion, encapsulation) and histopathological peritoneal findings (interstitial fibrosis, microvascular change, fibrin deposition, inflammatory cell infiltration) were scored and summed as Macro-total score (Macro-TS) and Micro-total score (Micro-TS), respectively. Factors associated with these scores and the relationship between these scores were investigated. Results: Neither Macro-TS nor Micro-TS were related to PD vintage (p = 0.069 and p = 0.769, respectively); moreover, Macro-TS varied from patient to patient regardless of similar PD vintage. However, Macro-TS showed a significant association with duration of acidic dialysate (p = 0.003). Conclusion: Macroscopic and microscopic findings via laparoscopy may help the assessment of peritoneal damage in patients with long PD vintage.

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“…Although laparoscopic surgery is not required for removing a PD catheter, the images gained could be useful with regards to any underlying malignant disease [20][21][22]. There are few studies about macroscopic findings on PD patients, however, a scoring system including taking into account peritoneal appearance, hypervascular changes, adhesions and encapsulation may be useful [23,24]. Visceral peritoneum biopsy could be considered in some cases, but it also presents a risk of perforation.…”

Section: Procedures Of Peritoneal Biopsy and Sample Processingmentioning

confidence: 99%

Recommendations for pathological diagnosis on biopsy samples from peritoneal dialysis patients

Kawanishi

Honda

Hamada

2017

Pleura and Peritoneum

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Peritoneal dialysis (PD) has been established as an essential renal replacement therapy for patients with end stage renal disease during the past half century. Histological evaluation of the peritoneal membrane has contributed to the pathophysiological understanding of PD-related peritoneal injury such as peritonitis, fibrosis, and encapsulating peritoneal sclerosis (EPS). Hyalinizing peritoneal sclerosis (HPS), also known as simple sclerosis, is observed in almost all of PD patients. HPS is morphologically characterized by fibrosis of the submesothelial interstitium and hyalinizing vascular wall, particularly of the post-capillary venule (PCV). Two histological factors, the thickness of submesothelial compact zone (SMC) and the lumen/vessel ratio (L/V) at the PCV, have been used for the quantitative evaluation of HPS. The measuring system on SMC thickness and L/V ratio is easy and useful for evaluating the severity of HPS. On the other hand, EPS is characterized by unique encapsulation of the intestines by an "encapsulating membrane". This newly formed membranous structure covers the visceral peritoneum of the intestines, which contains fibrin deposition, angiogenesis, and proliferation of fibroblast-like cells and other inflammatory cells. This review will cover the common understandings of PD-related peritoneal alterations and provide a basic platform for clinical applications and future studies in this field.

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Sclerosing encapsulating peritonitis associated with continuous ambulatory peritoneal dialysis: Surgical management

Cited by 52 publications

References 10 publications

Single-center experience of encapsulating peritoneal sclerosis in patients on peritoneal dialysis for end-stage renal failure

Single-center experience of encapsulating peritoneal sclerosis in patients on peritoneal dialysis for end-stage renal failure

Laparoscopy Reveals a Diversity of Peritoneal Change in Patients with Long-Term Vintage of Peritoneal Dialysis

Recommendations for pathological diagnosis on biopsy samples from peritoneal dialysis patients

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