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Published on: July 19, 2018
Encapsulating peritoneal sclerosis in patients on peritoneal dialysis
M P Hendriks1, R G L de Sévaux, L B Hilbrands
1Department of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands. m.hendriks@aig.umcn.nl
Abstract:
Encapsulating peritoneal sclerosis (EPS) is an uncommon but one of the most serious complications in patients on long-term peritoneal dialysis. EPS is characterised by a diffuse thickening and/or sclerosis of the peritoneal membrane which leads to a decreased ultrafiltration and ultimately to bowel obstruction. We present four cases of EPS and discuss the clinical manifestations, multifactorial aetiology, diagnosis, treatment, prognosis, and prevention. We end with a proposal for the development of an EPS prevention guideline.
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