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논문분류	춘계학술대회 초록집
제목	Outcomes of surgical management of encapsulating peritoneal sclerosis: case series from single center in Korea
저자	Jung Hwa Ryu, Kook-Hwan Oh, Curie Ahn, Kyu Joo Park, Jaeseok Yang
출판정보	2019; 2019(1):
키워드	peritoneal sclerosis \| peritoneal dialysis \| surgery \| enterolysis
초록	Encapsulating peritoneal sclerosis (EPS) is rare but near-fatal complication of peritoneal dialysis (PD). Although mortality in EPS patients is high, neither preventive management nor effective therapeutic guideline has been established yet. We reviewed outcomes of EPS cases which received surgical management. This retrospective study included patients who underwent laparotomy and enterolysis for intractable EPS at Seoul National University Hospital between 2001 and 2018. The EPS was diagnosed by clinical symptoms and radiologic findings on abdominal CT scans. CT scan was scored according to the previously described EPS scoring system including peritoneal thickening, bowel thickening, peritoneal calcification, bowel tethering, loculation, and bowel dilatation. A total of 13 patients received enterolysis for severe EPS. The median age was 48 (29-63) years and 9 patients were male. The median treatment duration of PD was 11 (6-21) years. Two patients were newly diagnosed as EPS after transplantation. Five patients died early after operation because of infectious complication. Eight patients survived after the 1st surgical treatment, then, 4 of these patients survived more than 2 years. These 4 long-term survivors were all male, younger than 60 years old and showed relatively low CT scan score (5
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