Percutaneous Endoscopic Gastrostomy with Jejunal Extension for an Encapsulating Peritoneal Sclerosis Refractory to Surgical Enterolysis. Issue 5 (September 2016)

• Record Type: Journal Article
• Authors: Banshodani, Masataka; Kawanishi, Hideki; Moriishi, Misaki; Shintaku, Sadanori; Hashimoto, Shinji; Tsuchiya, Shinichiro
• Is Part Of: Peritoneal dialysis international. Volume 36:Issue 5(2016)
• Page Start: 562
• Page End: 563
• Publication Date: 2016-09
• Subjects: Encapsulating peritoneal sclerosis -- percutaneous endoscopic gastrostomy with jejunal extension -- surgical enterolysis; Peritoneal dialysis -- Periodicals; Continuous ambulatory peritoneal dialysis -- Periodicals; 617.461059
• DOI: 10.3747/pdi.2015.00260
• Languages: English
• ISSNs: 0896-8608

Abstract

Surgical enterolysis is the final option for patients with encapsulating peritoneal sclerosis (EPS). However, EPS is sometimes refractory to surgical enterolysis. This is the first report of successful use of percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in a patient with EPS that was refractory to surgical enterolysis. We propose that sustained drainage of digestive juices by PEG-J, along with central venous nourishment at home, can be a treatment option for patients with EPS that cannot be treated with radical measures.