Surgical Treatment and Perioperative Management of Idiopathic Abdominal Cocoon: Single‐Center Review of 65 Cases

Li, Ning; Zhu, Weiming; Li, Yang; Gong, Jianfeng; Gu, Lili; Li, Min; Cao, Lei; Li, Jieshou

doi:10.1007/s00268-014-2458-6

Cited by 90 publications

(189 citation statements)

References 55 publications

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“…All the constrictive tissue was removed and a 5 cm long biopsy of small bowel was taken. those patients with severe signs of intestinal obstruction, the most appropriate procedure consists of adhesiolysis and excision of the membrane that encapsulates the intestinal surface, with a low recurrence risk [1] and satisfactory long-term results [1,6,7]. A limited number of case reports have successfully described membrane excision and laparoscopic adhesiolysis [8,9].…”

Section: Discussionmentioning

confidence: 99%

“…To avoid complications, such as leakage of anastomosis and short bowel syndrome, in patients with sclerosing peritonitis, intestinal resection is indicated only when necrosis develops [10]. Resection is often unnecessary and, when performed without a clear indication, it may increase patient morbidity and mortality [1,4]. The administration of an antifibrogenic and anti-inflammatory agents during the postoperative period in patients in which the encapsulating membrane cannot be completely excised appears to be beneficial [2].…”

Section: Discussionmentioning

confidence: 99%

“…The difficulty of the diagnosis is the common presentation of the condition as a chronic abdominal unspecific pain and weight loss which makes it difficult to identify clinically unless the patient develops a bowel obstruction. It is also exceptional with the presentation of sclerosing encapsulating peritonitis (SEP) as a primary entity [1].…”

Section: Introductionmentioning

confidence: 99%

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Cocoon Syndrome: A Rare Entity

Diaz¹,

Chacón²,

Vílchez

2017

J Curr Surg

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Sclerosing encapsulating peritonitis (SEP) is an uncommon condition characterized by the encasement of small bowel due to a thick fibrotic coverage. This entity is usually related to several diseases, highlighting among them the peritoneal dialysis, and less frequent is the primary or idiopathic peritoneal sclerosis or cocoon syndrome. SEP is clinically variable, depending on the severity and duration of the disease, the underlying causes and the patient's immune status. The most common presentation is intestinal obstruction. It is rarely presented as a complication such as enterocutaneous fistulas, intestinal necrosis and malnutrition. Intestinal perforation is quite uncommon in patients with SEP. We present a case of cocoon syndrome in a 67-year-old man and describe his clinical onset, radiology and anatomical pathology findings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cocoon Syndrome: A Rare Entity

Diaz¹,

Chacón²,

Vílchez

2017

J Curr Surg

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“…This has been largely attributed to the emergency HIV epidemic, although MDR tuberculosis, neglect of control programs, immigration and other social changes has been important factors 3 4 . In most cases a trial of medical therapy should be undertaken prior to surgical intervention 5 .…”

Section: Introductionmentioning

confidence: 99%

Clinical-Epidemiological Study of Abdominal Tuberculosis in A Tertiary Care Center in India

Desai¹

2017

jmscr

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“…[1][2][3] Obstructions can be partial or full and this statement can repeat as attacks. 4 Patients often apply to clinic with obstruction symptoms such as abdominal pain, nausea, and vomiting and their radiological findings are usually nonspecific.…”

mentioning

confidence: 99%

Peritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report

Yılmaz¹,

Aydoğan²,

Öner³

2016

Turkiye Klinikleri J Case Rep

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362ncapsulated sclerosing peritonitis, characterized by a statement in which the small bowels are completely wrapped with a fibrous membrane, is a rare small bowel obstruction statement.1-3 Obstructions can be partial or full and this statement can repeat as attacks. 4 Patients often apply to clinic with obstruction symptoms such as abdominal pain, nausea, and vomiting and their radiological findings are usually nonspecific. 5 We will present, in this report, our case who had undergone peritoneal dialysis due to chronic renal failure for 10 years and then was operated for recurrent attacks of sclerosing encapsulated peritonitis. CASE REPORTFifty-three-year-old female patient, was diagnosed with chronic kidney failure 11 years ago and began to undergo peritoneal dialysis. She had bilateral nephrectomy 5 years ago. About 2 years ago when the case applied to an another hospital with complaints of abdominal pain, nausea and vomPeritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report A AB BS S T TR RA AC CT T Encapsulated sclerosing peritonitis is a rare small bowel obstruction statement and usually has nonspecific clinical situations and radiological findings. It is mainly diagnosed intraoperatively. Although many reasons are found to be suspicious in etiology, it is mostly caused by exposure to the peritoneal dialysis. It usually responds to surgical treatment and peritonectomy which is an exhausting choise is the best treatment option. In this report, we will present a 53-year-old case having peritonectomy admitted with recurrent sclerosing encapsulated peritonitis attacks.K Ke ey y W Wo or rd ds s: : Peritonitis; peritoneal dialysis; surgical procedures, operative Ö ÖZ ZE ET T Enkapsüle sklerozan peritonit, genellikle nonspesifik klinik ve radyolojik bulgularla seyreden ve nadir ince barsak obstrüksiyonu yapan bir durumdur. Ana tanı intraoperatif olarak konur. Etyolojide birçok sebep suçlanmasına rağmen, en sık sebep peritoneal diyalize sık maruz kalmak olarak görülmüştür. Genellikle cerrahi tedavi ve peritonektomi en iyi tedavi seçeneğidir. Bu yazımızda, tekrarlayan enkapsüle sklerozan peritonit atakları olan 53 yaşındaki, peritonektomi yaptığımız bir olgumuzu sunacağız.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Peritonit; periton diyalizi; cerrahi işlemler, operasyon T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J C Ca as se e R Re ep p 2 20 01 16 6; ;2 24 4( (4 4) ): :3 36 62 2--4 4

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Surgical Treatment and Perioperative Management of Idiopathic Abdominal Cocoon: Single‐Center Review of 65 Cases

Abstract: Our single-center study with a large number of patients provided evidence regarding the epidemiology of AC. Preoperative nutritional support and intestinal stenting significantly reduced postoperative complications and, more importantly, increased postoperative satisfaction.

Cited by 90 publications

References 55 publications

Cocoon Syndrome: A Rare Entity

Cocoon Syndrome: A Rare Entity

Clinical-Epidemiological Study of Abdominal Tuberculosis in A Tertiary Care Center in India

Peritonectomy Treatment for Recurrent Sclerosing Encapsulated Peritonitis Attacks: Case Report

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