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- W1991900527 abstract "Abstract Sclerosing encapsulating peritonitis is a rare complication of continuous ambulatory peritoneal dialysis. Sclerosing encapsulating peritonitis causes weight loss, intermittent bowel obstruction and decrease in peritoneal water and solute transport. Mortality may reach up to 50% due to severe malnutrition and ileus. Although the etiology is not fully known, many reasons such as frequent peritonitis attacks, bio-incompatibility of dialysate and catheter, intra-peritoneal contamination with clorhexidine, and use of beta-blockers are held responsible. Diagnosis is difficult in early stage. In this stage, abdominal computed tomography findings are important. It is often diagnosed during operation of the patients who developed complications such as bowel obstruction. Termination of peritoneal dialysis and providing nutritional support, use of immunosuppressive drugs, and surgical approach can be used for treatment. In this article, a 46-year-old male who had been using continuous ambulatory peritoneal dialysis as a renal replacement therapy for 9 years, presenting with peritonitis attacks, severe abdominal paintogether with weight loss and was diagnosed as sclerosing encapsulating peritonitis is presented. Keywords: Continuous ambulatory peritoneal dialysis, abdominal computerized tomography, sclerosing encapsulating peritonitis Ozet Sklerozan enkapsule peritonit, surekli ayaktan periton diyalizinin nadir bir komplikasyonudur. Sklerozan enkapsule peritonit kilo kaybi, aralikli barsak tikanmasi ve peritoneal su ve solid tasinmasinda azalmaya neden olur. Mortalite orani agir malnutrisyon ve ileus nedeniyle %50’ye kadar ulasabilir. Etyolojisi tam olarak bilinmemekle birlikte, sik peritonit ataklari, diyalizat ve kateterin biyo-uyumsuzlugu, klorheksidinle intra-peritoneal kontaminasyon ve beta blokor kullanimi gibi bircok neden sorumlu tutulur. Erken donemde tanisi zordur. Bu donemde bilgisayarli batin tomografisi bulgulari onemlidir. Barsak tikanmasi gibi komplikasyon gelisen hastalarda siklikla operasyon sirasinda teshis edilir. Periton diyalizini sonlandirmak, beslenme destegi saglamak, immunsupresif ilaclarin kullanimi ve cerrahi yaklasim tedavi icin uygulanabilir. Bu makalede dokuz yildir renal replasman tedavisi olarak surekli ayaktan periton diyalizi kullanmakta olan, peritonit ataklari, siddetli karin agrisi ve kilo kaybi semptomlari ile basvuran ve sklerozan enkapsule peritonit tanisi alan 46 yasinda erkek olgu sunulmaktadir. Anahtar sozcukler: Surekli ayaktan periton diyalizi, bilgisayarli batin tomografisi, sklerozan enkapsule peritonit" @default.
- W1991900527 created "2016-06-24" @default.
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- W1991900527 date "2013-03-22" @default.
- W1991900527 modified "2023-10-16" @default.
- W1991900527 title "Sclerosing encapsulating peritonitis; silent danger in continuous ambulatory peritoneal dialysis patients: case report and review of the literature" @default.
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- W1991900527 doi "https://doi.org/10.7197/cmj.v35i1.1008001452" @default.
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