title: Percutaneous Endoscopic Gastrostomy with Jejunal Extension for an Encapsulating Peritoneal Sclerosis Refractory to Surgical Enterolysis.
abstract: Surgical enterolysis is the final option for patients with encapsulating peritoneal sclerosis (EPS). However, EPS is sometimes refractory to surgical enterolysis. This is the first report of successful use of percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in a patient with EPS that was refractory to surgical enterolysis. We propose that sustained drainage of digestive juices by PEG-J, along with central venous nourishment at home, can be a treatment option for patients with EPS that cannot be treated with radical measures.
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan m-banshodani@tsuchiya-hp.jp.
authors.forename: Masataka
authors.initials: M
authors.lastname: Banshodani
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan Faculty of Medicine, Hiroshima University, Hiroshima, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Kawanishi
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Misaki
authors.initials: M
authors.lastname: Moriishi
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Sadanori
authors.initials: S
authors.lastname: Shintaku
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Hashimoto
authors.affiliation: Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Tsuchiya
mesh_terms: D002908:Chronic Disease; D018450:Disease Progression; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000379:methods*; D005921:Glomerulonephritis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007582:Jejunostomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000379:methods; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000379:methods; D056627:Peritoneal Fibrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D018570:Risk Assessment; D012598:Sclerosis / Q000209:etiology / Q000473:pathology; D013997:Time Factors; D016896:Treatment Outcome
keywords: Encapsulating peritoneal sclerosis; percutaneous endoscopic gastrostomy with jejunal extension; surgical enterolysis