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Información de la revista
Vol. 32. Núm. 6.noviembre 2012
Páginas 701-866
Vol. 32. Núm. 6.noviembre 2012
Páginas 701-866
Acceso a texto completo
Éxito en caso clínico de esclerosis peritoneal encapsulante: tratamiento quirúrgico mediante enterólisis
A successful clinical case of encapsulating peritoneal sclerosis ¿ surgical management using enterolysis
Visitas
11221
Diálise Peritoneal dos C.H.U.C, Patrícia Netob
b Nefrologia, Centro Hospitalar e Universitário de Coimbra, Portugal,
Este artículo ha recibido
Información del artículo

La esclerosis peritoneal encapsulante (EPE) es una complicación poco común, pero grave, de la diálisis peritoneal. La tasa de incidencia varía entre el 0,5 y el 4,4 %. Esta complicación está asociada a tasas significativas de morbilidad y mortalidad. El diagnóstico requiere la presencia de manifestaciones clínicas de obstrucción intestinal o función gastrointestinal alterada con signos patológicos y radiológicos de encapsulamiento intestinal. El mecanismo patogénico exacto de la EPE sigue siendo desconocido, aunque sí que se asocia firmemente con la duración de la diálisis peritoneal. Presentamos un caso clínico de EPE y analizamos las manifestaciones clínicas, diagnóstico, tratamiento, pronóstico y prevención.

Palabras clave:
Diálisis peritoneal
Palabras clave:
Esclerosis peritoneal encapsulante
Palabras clave:
Enterolisis

The encapsulating peritoneal sclerosis is a rare but serious complication of peritoneal dialysis. The incident rate varies between 0.5 to 4.4%. This entity is associated with significant morbidity and mortality. The diagnosis requires the presence of clinical features of intestinal obstruction or disturbed gastrointestinal function with pathological and radiological evidence of bowel encapsulation. The exact pathogenic mechanism of EPS remains unknown, although it’s strongest associated with duration of peritoneal dialysis. We present a clinical case of EPS and discuss the clinical manifestations, diagnosis, treatment, prognosis and prevention.

Keywords:
Peritoneal dialysis
Keywords:
Encapsulating peritoneal sclerosis
Keywords:
Enterolysis
El Texto completo está disponible en PDF
Bibliografía
[1]
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[2]
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[6]
Woodrow G, Augustine T, Brown EA, Cowling M, El-Sherbini N, Hurst H, et al. UK encapsulating peritoneal sclerosis clinical practises guidelines, July 2009. Available at: http://www.renal.org/Libraries/Other_Guidlines/Encapsulating_Peritoneal_Sclerosis_guidelines_UK_EPS_Group_Final_July_2009.sflb.ashx.
[7]
Perioperative total parenteral nutrition in surgical patients. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. N Engl J Med 1991;325:525-32. [Pubmed]
[8]
Van Bommel EF, Hendriksz TR, Huiskes AW, Zeegers AG. Brief communication: tamoxifen therapy for nonmalignant retroperitoneal fibrosis. Ann Intern Med 2006;144:101-6. [Pubmed]
[9]
Korte M, Yo M, Betjes M, Fieren MW, van Saase JC, Boer WH, et al. Increasing incidence of severe encapsulating peritoneal sclerosis after kidney transplantation. Nephrol Dial Transplant 2007;22:2412-4. [Pubmed]
[10]
Rigby RJ, Hawley CM. Sclerosing peritonitis: the experience in Australia. Nephrol Dial Transplant 1998;13:154-9. [Pubmed]
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