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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

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Encapsulating peritoneal sclerosis - a 5 year experience.

Robert Spence¹, Scott Gillespie, Maurice Loughrey

¹Department of Colorectal Surgery, Royal Victoria Hospital, Belfast. robert.spence@gmail.com

The Ulster Medical Journal

|April 27, 2013

Summary

This summary is machine-generated.

Encapsulating peritoneal sclerosis (EPS) is a severe condition requiring significant medical intervention. Management involves surgery and often parenteral nutrition, with a majority of patients surviving long-term.

Keywords:

Peritoneal Fibrosis

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Area of Science:

Gastroenterology
Surgical Oncology
Abdominal Surgery

Background:

Encapsulating peritoneal sclerosis (EPS) is a rare, life-threatening condition characterized by progressive intra-abdominal inflammation and fibrotic constriction.
This study examines the experience with EPS in Belfast over a five-year period.

Purpose of the Study:

To report the aetiology, management strategies, and patient outcomes for Encapsulating Peritoneal Sclerosis (EPS).

Main Methods:

Retrospective analysis of all patients diagnosed with EPS in Belfast over the past 5 years.
Data collected included presentation, aetiology, imaging, pathology, surgical procedures, and outcomes.

Main Results:

Seven patients with EPS were identified, with varied aetiologies including peritoneal dialysis and radiation enteritis.
Five patients underwent surgery, with bowel-conserving procedures in four. Median hospital stay was extended, and 4/7 patients were discharged on total parenteral nutrition (TPN).
Five-year survival was 5/7 patients, with no 30-day in-hospital mortality.

Conclusions:

Encapsulating peritoneal sclerosis (EPS) frequently necessitates parenteral nutrition (PN) peri-operatively.
While peritoneal dialysis is a key risk factor, other aetiologies for EPS must be considered.
Management of EPS is complex due to co-morbidities and surgical challenges, necessitating specialized multidisciplinary care.