Encapsulating peritoneal sclerosis(EPS) is a chronic clinical syndrome with an insidious onset that manifests as chronic undernourishment accompanied by sporadic, acute, or subacute gastrointestinal obstruction symptoms.[1] Peritoneal dialysis is most commonly linked to encapsulating peritoneal sclerosis, especially when peritoneal dialysis is stopped.[2] The diagnosis is verified by macroscopic and/or radiological observations of intestinal encapsulation, calcification, thickening of the peritoneum, or sclerosis.[3]
Treatments that have been reported include the use of antifibrotic drugs like tamoxifen, immunosuppressant drugs like corticosteroids, nutritional support, and surgery to remove the fibrotic material.[4]
^Kawaguchi, Y; Kawanishi, H; Mujais, S; Topley, N; Oreopoulos, D G (2000). "Encapsulating peritoneal sclerosis: definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on Ultrafiltration Management in Peritoneal Dialysis". Peritoneal Dialysis International. 20 (4): S43–S55. doi:10.1177/089686080002004S04. PMID 11098928.
^Kawaguchi, Yoshindo; Saito, Akira; Kawanishi, Hideki; Nakayama, Masaaki; Miyazaki, Masanobu; Nakamoto, Hidetomo; Tranaeus, Anders (April 2005). "Recommendations on the management of encapsulating peritoneal sclerosis in Japan, 2005: diagnosis, predictive markers, treatment, and preventive measures". Peritoneal Dialysis International. 25 (4): S83–S95. doi:10.1177/089686080502504S12. PMID 16300277.
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