Encapsulating Peritoneal Sclerosis: Different clinical presentations and their management

Jaime Manuel Justo-Janeiro (fi csfacs)*, Elizabeth Huerta-Calixto, de la Rosa Paredes Rene, Fernando Vazquez de Lara and Luis G Vazquez de Lara

Introduction: One  of  most  common  treatments  of  end-stage  renal  disease  is  peritoneal  dialysis. Encapsulating  peritoneal  sclerosis  is  a  complication  in  which  the  osmotic  capacity  of  the  peritoneal barrier is lost, due to infections or the irritating effect of dialysis solutions. This pathology has different clinical presentations, hence the need of different diagnostic and therapeutic methods.

Objective: To  present  a  series  of  three  cases  with  encapsulating  peritoneal  sclerosis  and  different clinical pictures, using laparoscopy as the mainstay for diagnosis and treatment.

Patients  and  methods:This  work  describes  the  clinical  and  imaging  features  of  three  patients.  A systematic  approach  was  utilized  which  included  the  delimitation  of  the  affected  zone,  sterilization, collapse of the cavity, and change of dialysis mode until renal transplantation.

Conclusions: Our work suggests that a laparoscopic approach to encapsulating peritoneal sclerosiscan  be  very  valuable  for  the  diagnosis  and  treatment  of  this  condition  and  controlled  clinical  trials  are warranted to validate this observation

Keywords:

Published on: May 19, 2017 Pages: 7-11

Full Text PDF Full Text HTML DOI: 10.17352/2455-5495.000019
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat