ENCAPSULATING PERITONEAL SCLEROSIS-MEDICAL AND SURGICAL TREATMENT

被引：0
|
作者：
Lo, Wai Kei [1 ]
Kawanishi, Hideki [2 ]
机构：
[1] Tung Wah Hosp, Dept Med, Hong Kong, Hong Kong, Peoples R China
[2] Tsuchiya Gen Hosp, Hiroshima, Japan
来源：
PERITONEAL DIALYSIS INTERNATIONAL | 2009年 / 29卷
关键词：
Encapsulating peritoneal sclerosis; tamoxifen; immunosuppressives; enterolysis; Noble plication; KIDNEY-TRANSPLANTATION; TAMOXIFEN THERAPY; DIALYSIS; PATIENT; ASCITES;
D O I：
暂无
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Encapsulating peritoneal sclerosis (EPS) is a rare but devastating complication. The patients at high risk for EPS include those on peritoneal dialysis (PD) for more than 8 10 years and patients with high peritoneal transport and frequent peritonitis. Effective medical treatment with tamoxifen and immunosuppressives (a steroid with or without azathioprine or mycophenolate) has been reported. Surgical enterolysis is needed when irreversible intestinal obstruction occurs. In experienced hands, mortality can be reduced to a few percentage points, but the recurrence rate is very high. Noble plication has been reported to reduce the recurrence rate. Accelerated EPS development may possibly occur after conversion from PD to HD.
引用
收藏
页码：S211 / S214
页数：4
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