Encapsulating Peritoneal Sclerosis: Different clinical presentations and their management

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 sclerosis can be very valuable for the diagnosis and treatment of this condition and controlled clinical trials are warranted to validate this observation. Research Article Encapsulating Peritoneal Sclerosis: Different clinical presentations and their management Jaime Manuel Justo-Janeiro (fi csfacs)1, 2*, Elizabeth Huerta-Calixto2, de la Rosa Paredes René2, Fernando Vázquez de Lara3 and Luis G Vázquez de Lara1 1Faculty of Medicine, Meritorius Autonomous University of Puebla, Mexico 2Department of Organ Transplantation, General Hospital of Puebla “Dr. Eduardo Vázquez Navarro”, Puebla, Puebla, Mexico 3Department of Internal Medicine, Icahn School of Medicine at Mount Sinai West and St. Luke’s, New York, NY, USA Dates: Received: 09 March, 2017; Accepted: 17 May, 2017; Published: 19 May, 2017 *Corresponding author: Jaime Manuel Justo-Janeiro, Department of Organ Transplantation, General Hospital of Puebla “Dr. Eduardo Vázquez Navarro”, Puebla, Puebla, Mexico, Tel: 52 (222) 303-83-91; E-mail: