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Related Experiment Videos

Surgical treatment for encapsulating peritoneal sclerosis.

Hideki Kawanishi1

  • 1Akane Foundation, Tsuchiya General Hospital, Hiroshima, Japan.

Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|October 31, 2002
PubMed
Summary

Encapsulating peritoneal sclerosis (EPS), a complication of peritoneal dialysis (PD), can be cured. Early diagnosis and treatment, including steroids, nutritional support, or surgery, are key to managing EPS effectively.

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Area of Science:

  • Nephrology
  • Gastroenterology
  • Surgical Sciences

Background:

  • Encapsulating peritoneal sclerosis (EPS) is a feared complication of peritoneal dialysis (PD).
  • Recent studies suggest that EPS is treatable and potentially curable.
  • Effective prevention and treatment strategies are crucial for PD patients.

Purpose of the Study:

  • To outline therapeutic tactics for managing established EPS.
  • To discuss essential methods for preventing EPS development.
  • To highlight the importance of early and stage-appropriate interventions.

Main Methods:

  • Prevention strategies include meticulous peritonitis management and use of biocompatible dialysis fluids.
  • Treatment is staged: steroid administration for the inflammatory phase.
  • Nutritional support (total parenteral nutrition - TPN) for the encapsulating phase, and surgical intervention (total intestinal enterolysis) for the ileus phase.

Main Results:

  • EPS is presented as a potentially curable condition, not an incurable disease.
  • Successful treatment depends on accurate diagnosis and timely, stage-specific interventions.
  • Surgical management requires careful total enterolysis to avoid damaging the encapsulated intestine.

Conclusions:

  • Encapsulating peritoneal sclerosis (EPS) is manageable and curable with appropriate interventions.
  • Preventive measures like managing peritonitis and using biocompatible fluids are vital.
  • Active diagnosis and tailored treatment strategies, from steroids to surgery, offer a cure for EPS.

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