Encapsulating peritoneal sclerosis in patients on peritoneal dialysis.
Encapsulating 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.
Hendriks
M P
MP
Department of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands. m.hendriks@aig.umcn.nl
de Sévaux
R G L
RG
Hilbrands
L B
LB
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010532:Peritoneal Diseases / Q000209:etiology* / Q000473:pathology; D010537:Peritoneum / Q000473:pathology*; D012598:Sclerosis / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed