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Encapsulating peritoneal sclerosis in patients on peritoneal dialysis Hendriks MP; de Sevaux RG; Hilbrands LBNeth J Med 2008[Jul]; 66 (7): 269-74Encapsulating 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.|Adult[MESH]|Biopsy[MESH]|Diagnosis, Differential[MESH]|Fatal Outcome[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Kidney Failure, Chronic/therapy[MESH]|Male[MESH]|Middle Aged[MESH]|Peritoneal Dialysis/*adverse effects[MESH]|Peritoneal Diseases/*etiology/pathology[MESH]|Peritoneum/*pathology[MESH]|Sclerosis/diagnosis/etiology[MESH]|Tomography, X-Ray Computed[MESH] |
