Álvarez GY, Bohorques RR, López ML

Language: Spanish
References: 10
Page: 1-7
PDF size: 273.43 Kb.

ABSTRACT

Encapsulating peritoneal sclerosis is a rare but very serious complication of peritoneal dialysis. This complication is associated with high morbidity and mortality rates. Clinical diagnosis is based on the presence of intestinal obstruction or altered gastrointestinal function with pathological and radiological signs of intestinal encapsulation. The pathognomonic diagnosis is achieved only by performing peritoneal biopsy. The exact pathogenic mechanism of this entity remains unknown, although it is strongly associated with the duration of the patient with peritoneal dialysis. We report a clinical case of encapsulating peritoneal sclerosis and the clinical manifestations, diagnosis, treatment, prognosis and prevention are analyzed.

REFERENCES

1. Davies SJ, Mushahar L, Lambie M. Determinants of peritoneal membrane function over time. Semin Nephrol. 2011;31:172-82.

2. Goodlad C, Brown EA. Encapsulating peritoneal sclerosis: what have we learned? Semin Nephrol. 2011;31:183-98.

3. Kawaguchi Y, Kawanishi H, Mujais S, Topley N, Oreopoulos DG. Encapsulating peritoneal sclerosis: definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on Ultrafiltration Management in Peritoneal Dialysis. Perit Dial Int. 2000;20[suppl 4]:43-55.

4. Saito A. Peritoneal dialysis in Japan: the issue of encapsulating peritoneal sclerosis and futures challenges. Perit Dial Int. 2005;25 Suppl 4:S77-82.

5. Brown EA, Biesen WV, Finkelstein FO, Hurst H, Johnson DW, Kawanishi H, et al. ISPD Working Party. Length of time on peritoneal dialysis and encapsulating peritoneal sclerosis: position paper for ISPD. Perit Dial Int. 2009;29:595-600.

6. Woodrow G, Augustine T, Brown EA, Cowling M, El-Sherbini N, Hurst H, et al. Renal Association Clinical Practice Guideline on peritoneal dialysis in adults and children. BMC Nephrol. 2017;18:33. Doi: https://10.1186/s12882-017-0687-2.

7. Neto P. A successful clinical case of encapsulating peritoneal sclerosis-surgical management using enterolysis. Nefrología. 2012;32(6):829-34.

8. Torres R, Ebner P, Sanhueza ME, Alvo M, Segovia E, Segura P. Diagnóstico y seguimiento de 12 casos de peritonitis esclerosante asociada a diálisis peritoneal crónica en Chile. Rev Med Chile. 2017;145:41-48.

9. de Sousa E, del Peso-Gilsanz G, Auxiliadora Bajo-Rubio M, Ossorio-González M, Selgas-Gutiérrez R. Peritonitis esclerosante encapsulante asociada a la diálisis peritoneal. Una revisión y una iniciativa unitaria europea para abordar el cuidado de una enfermedad rara. Nefrología. 2012;32(6):707-14.

10. Korte MR, Fieren MW, Sampimon DE, Lingsma HF, Weimar W, Betjes MG. Tamoxifen is associated with lower mortality of encapsulating peritoneal sclerosis: results of the Dutch Multicentre EPS Study. Nephrol Dial Transplant. 2011;26:691-7.