Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25870687
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25870687
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Med+Life
2014 ; 7 Spec No. 3
(Spec Iss 3
): 8-12
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Encapsulating Peritoneal Sclerosis - A rare and serious complication of
peritoneal dialysis: Case series
#MMPMID25870687
Mihalache O
; Bug? C
; Doran H
; Catrina E
; Bobirc? F
; P?tra?cu T
J Med Life
2014[]; 7 Spec No. 3
(Spec Iss 3
): 8-12
PMID25870687
show ga
INTRODUCTION: Encapsulating peritoneal sclerosis is a pathological entity mainly
associated with peritoneal dialysis (PD). The clinical syndrome is characterized
by various degrees of intestinal obstruction due to thickening, sclerosis and
calcification of peritoneum resulting in the encapsulation and cocooning of the
bowel. It is a rare but potentially devastating complication associated with a
considerable morbidity and mortality. MATERIALS AND METHODS: Cases of
encapsulating peritoneal sclerosis (EPS), diagnosed in the Surgical Clinic of
"Cantacuzino" Hospital, between 2007 and 2014 were retrospectively reviewed.
During this interval, 432 surgical interventions related to peritoneal dialysis
were performed: 306 peritoneal access interventions and 124 complications, of
which 15 patients with EPS. RESULTS: In all but two cases, the EPS diagnostic was
established at the time of the surgical intervention addressed to other
complication or pathology. Moreover, in 2 of the 15 patients the diagnostic was
established approximately 5 months after PD was discontinued, and, in one of
these patients at the time of the extraction of the dialysis catheter. 12 of 15
patients were diabetic. Most patients had a history of multiple peritonitis
episodes. All the patients required the passing from peritoneal dialysis to
hemodialysis. There were 4 deaths (26,6%) of which one was around two months from
the diagnosis. CONCLUSIONS: The timely diagnosis of the condition and the
appropriate phase-specific treatment is of utmost importance in EPS. In advanced
stages, the surgical intervention performed by a well-trained team could achieve
good long-term results.