Time Is Not Always the Matter: An Instance of Encapsulating Peritoneal Sclerosis Developing in a Patient on Peritoneal Dialysis for a Short Term

Radhames Ramos De Oleo, Hugo Villanueva, Lin Lwin, Madhavi Katikaneni, Jinil Yoo

Research output: Contribution to journalArticle

Abstract

Encapsulating peritoneal sclerosis (EPS) is an infrequent but serious complication that is observed mostly in patients on long-term peritoneal dialysis (PD). However it can occur after short-term PD, in association with "second hit" risk factors such as peritonitis, acute cessation of PD, or kidney transplantation with the use of calcineurin inhibitors.In our case, a young woman with second-hit risk factors presented with clinical and abdominal computed tomography findings consistent with EPS after short-term PD. She was treated conservatively with nutritional support and was discharged in improved and stable clinical status.In general, the diagnosis of EPS requires clinical findings of bowel obstruction combined with typical computed tomography imaging features. However, the clinical manifestations can be very vague, and the diagnosis is often unclear. A recent study categorized EPS into 4 clinical stages, from pre-EPS to chronic ileus, with associated management from conservative treatment to surgical intervention.In association with second-hit risk factors, EPS can occur after short-term PD. Severity is variable, and the outcome is often devastating. Timely recognition and expert management of EPS can change the outcome very favorably.

Original languageEnglish (US)
Pages (from-to)19-21
Number of pages3
JournalAdvances in peritoneal dialysis. Conference on Peritoneal Dialysis
Volume32
StatePublished - Jan 1 2016

Fingerprint

Peritoneal Fibrosis
Peritoneal Dialysis
Tomography
Nutritional Support
Ileus
Peritonitis
Kidney Transplantation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Time Is Not Always the Matter : An Instance of Encapsulating Peritoneal Sclerosis Developing in a Patient on Peritoneal Dialysis for a Short Term. / De Oleo, Radhames Ramos; Villanueva, Hugo; Lwin, Lin; Katikaneni, Madhavi; Yoo, Jinil.

In: Advances in peritoneal dialysis. Conference on Peritoneal Dialysis, Vol. 32, 01.01.2016, p. 19-21.

Research output: Contribution to journalArticle

@article{23737f9340774c0bb41f9d99db0b796b,
title = "Time Is Not Always the Matter: An Instance of Encapsulating Peritoneal Sclerosis Developing in a Patient on Peritoneal Dialysis for a Short Term",
abstract = "Encapsulating peritoneal sclerosis (EPS) is an infrequent but serious complication that is observed mostly in patients on long-term peritoneal dialysis (PD). However it can occur after short-term PD, in association with {"}second hit{"} risk factors such as peritonitis, acute cessation of PD, or kidney transplantation with the use of calcineurin inhibitors.In our case, a young woman with second-hit risk factors presented with clinical and abdominal computed tomography findings consistent with EPS after short-term PD. She was treated conservatively with nutritional support and was discharged in improved and stable clinical status.In general, the diagnosis of EPS requires clinical findings of bowel obstruction combined with typical computed tomography imaging features. However, the clinical manifestations can be very vague, and the diagnosis is often unclear. A recent study categorized EPS into 4 clinical stages, from pre-EPS to chronic ileus, with associated management from conservative treatment to surgical intervention.In association with second-hit risk factors, EPS can occur after short-term PD. Severity is variable, and the outcome is often devastating. Timely recognition and expert management of EPS can change the outcome very favorably.",
author = "{De Oleo}, {Radhames Ramos} and Hugo Villanueva and Lin Lwin and Madhavi Katikaneni and Jinil Yoo",
year = "2016",
month = "1",
day = "1",
language = "English (US)",
volume = "32",
pages = "19--21",
journal = "Advances in peritoneal dialysis. Conference on Peritoneal Dialysis.",
issn = "1197-8554",
publisher = "Peritoneal Dialysis Bulletin",

}

TY - JOUR

T1 - Time Is Not Always the Matter

T2 - An Instance of Encapsulating Peritoneal Sclerosis Developing in a Patient on Peritoneal Dialysis for a Short Term

AU - De Oleo, Radhames Ramos

AU - Villanueva, Hugo

AU - Lwin, Lin

AU - Katikaneni, Madhavi

AU - Yoo, Jinil

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Encapsulating peritoneal sclerosis (EPS) is an infrequent but serious complication that is observed mostly in patients on long-term peritoneal dialysis (PD). However it can occur after short-term PD, in association with "second hit" risk factors such as peritonitis, acute cessation of PD, or kidney transplantation with the use of calcineurin inhibitors.In our case, a young woman with second-hit risk factors presented with clinical and abdominal computed tomography findings consistent with EPS after short-term PD. She was treated conservatively with nutritional support and was discharged in improved and stable clinical status.In general, the diagnosis of EPS requires clinical findings of bowel obstruction combined with typical computed tomography imaging features. However, the clinical manifestations can be very vague, and the diagnosis is often unclear. A recent study categorized EPS into 4 clinical stages, from pre-EPS to chronic ileus, with associated management from conservative treatment to surgical intervention.In association with second-hit risk factors, EPS can occur after short-term PD. Severity is variable, and the outcome is often devastating. Timely recognition and expert management of EPS can change the outcome very favorably.

AB - Encapsulating peritoneal sclerosis (EPS) is an infrequent but serious complication that is observed mostly in patients on long-term peritoneal dialysis (PD). However it can occur after short-term PD, in association with "second hit" risk factors such as peritonitis, acute cessation of PD, or kidney transplantation with the use of calcineurin inhibitors.In our case, a young woman with second-hit risk factors presented with clinical and abdominal computed tomography findings consistent with EPS after short-term PD. She was treated conservatively with nutritional support and was discharged in improved and stable clinical status.In general, the diagnosis of EPS requires clinical findings of bowel obstruction combined with typical computed tomography imaging features. However, the clinical manifestations can be very vague, and the diagnosis is often unclear. A recent study categorized EPS into 4 clinical stages, from pre-EPS to chronic ileus, with associated management from conservative treatment to surgical intervention.In association with second-hit risk factors, EPS can occur after short-term PD. Severity is variable, and the outcome is often devastating. Timely recognition and expert management of EPS can change the outcome very favorably.

UR - http://www.scopus.com/inward/record.url?scp=85039561901&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85039561901&partnerID=8YFLogxK

M3 - Article

C2 - 28988585

AN - SCOPUS:85039561901

VL - 32

SP - 19

EP - 21

JO - Advances in peritoneal dialysis. Conference on Peritoneal Dialysis.

JF - Advances in peritoneal dialysis. Conference on Peritoneal Dialysis.

SN - 1197-8554

ER -