Encapsulating peritoneal sclerosis (EPS) is an intestinal obstruction syndrome in which peritoneal deterioration and intraperitoneal inflammation result in intestinal adhesions, which are covered with a fibrin capsule and which cause bowel obstruction. Here, we report the case of a patient with EPS suspected to result from the use of icodextrin peritoneal solution. In this patient, peritoneal p...

Encapsulating peritoneal sclerosis (EPS) is a serious complication of long-term peritoneal dialysis (PD). The mortality rate for EPS has been high, primarily because of complications related to bowel obstruction. However recent advances in clinical research have established the pathogenesis and course of the condition and a treatment strategy. The final therapeutic option for EPS is surgical en...

Abstract Aim Encapsulating peritoneal sclerosis (EPS) is a rare morbidity associated primarily with dialysis. Definitive diagnosis and management can often be prolonged complicated. The pathogenesis two-hit hypothesis of inflammation myofibroblast differentiation. This report aims to demonstrate the EPS provide insight into management. Method We present unique case patient who follows ‘classica...

Background: Encapsulating peritoneal sclerosis related to long-term peritoneal dialysis is a serious and complicated clinical dilemma and surgical treatment might be the final therapeutic option when bowel obstruction occurred. However, the operative therapy comprising peritonectomy and enterolysis is a complex and risky procedure, and the surgical mortality is mainly related to the iatrogenic ...

We describe a case of bowel strangulation caused by massive peritoneal adhesion as a result of effective chemotherapy. A 71-year-old man, who had obstructive descending colon cancer with massive peritoneal metastases and, therefore, received palliative surgery consisting of diverting colostomy and sampling of peritoneal nodules, developed bowel strangulation on day 4 of the 2nd course of chemot...

BACKGROUND Post-transplantation encapsulating peritoneal sclerosis (EPS) causing bowel obstruction has been identified as a serious complication after kidney transplantation in patients previously treated with peritoneal dialysis. Systemic inflammation and abnormalities on an abdominal computed tomography (CT) scan are important hallmarks of EPS. To our knowledge, this is the first report of a ...

BACKGROUND Severe seromuscular tear of the bowel with impending perforation following enterolysis or trauma is not uncommon in gastrointestinal surgery. It is sometimes complicated with enterocutaneous fistula, intra-abdominal abscess or free perforation, especially of the ileus. In addition, direct serosal repair is often impossible, or complicated by lumen compromise. Serosal patch repair als...

BACKGROUND Diagnosis of encapsulating peritoneal sclerosis (EPS) is based on clinical symptoms, radiologic findings, and macroscopic or histological criteria. Two diagnostic scores for radiologic findings in computed tomography (CT) scans of patients with EPS have been established in the past (by Tarzi et al and Vlijm et al). The macroscopic appearance of EPS has previously been separated into ...

BACKGROUND Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis (PD) that is associated with significant morbidity and mortality in adults. There are scarce data for children. We performed a 10-year survey to determine the prevalence, risk factors and outcome for EPS in children. METHODS Chronic PD patients in 14 dialysis units participating in the European P...

BACKGROUND/PURPOSE Congenital hyperinsulinism (HI) causes severe hypoglycemia in neonates and infants. Recessive mutations of the beta-cell K(ATP) channel genes cause diffuse HI, whereas loss of heterozygosity together with inheritance of a paternal mutation cause focal adenomatous HI. Although these 2 forms of HI are clinically identical, focal HI can be cured surgically. The authors reviewed ...