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Case Reports
. 2001:17:191- 5.

Sclerosing encapsulating peritonitis: a case series from a single U.K. center during a 10-year period

S B Jenkins  1 , B L Leng, J R Shortland, P W Brown, M E Wilkie
Affiliations
  • PMID: 11510272
Case Reports

Sclerosing encapsulating peritonitis: a case series from a single U.K. center during a 10-year period

S B Jenkins et al. Adv Perit Dial. 2001.

Abstract

Sclerosing encapsulating peritonitis (SEP) is a serious complication of peritoneal dialysis (PD). Previous reports place the prevalence of SEP at 0.54%-7.3%. We estimated the prevalence of SEP in our unit to be 1.4% over the period 1989-1999. We here present the 6 identified cases. All of the patients presented with small-bowel obstruction; hemorrhagic ascites was identified in 3 cases. All 6 patients experienced ultrafiltration inadequacy, and 5 were treated with glucose polymer (icodextrin; duration of treatment: 1 month-2.5 years). Peritoneal dialysis was stopped at the time of diagnosis in 2 cases. In the other 4 cases, PD had been withdrawn some time prior to the SEP being diagnosed (2 weeks-5 years). Five of the patients have died; the 6th currently uses hemodialysis.

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