Cocoon abdomen after chronic peritoneal dialysis.

Cocoon abdomen after chronic peritoneal dialysis. Proc (Bayl Univ Med Cent). 2019 Apr;32(2):227-228 Authors: Edmundson P, Adkins C, Smith B Abstract A 66-year-old man presented with nausea, vomiting, and ascites. At laparotomy, an extensive fibrosis of the peritoneum was found to encase the bowel in a cocoon-like fashion. A meticulous dissection was undertaken to strip this encapsulating membrane from the bowel. Histologic study of the excised tissue disclosed extensive hyalinized fibroconnective tissue. PMID: 31191134 [PubMed]
Source: Baylor University Medical Center Proceedings - Category: Universities & Medical Training Authors: Tags: Proc (Bayl Univ Med Cent) Source Type: research

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ConclusionSclerosing peritonitis is a rare benign diagnosis which can manifest as complete bowel obstruction and a high index of suspicion is required to diagnose it. Contrast-enhanced computed tomography of the abdomen is a useful radiological tool to aid in preoperative diagnosis. Diagnostic laparoscopy is usually confirmatory.Peritoneal sac excision and adhesiolysis is the treatment and a short course of steroids in relapsing symptoms.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
CONCLUSIONS: There is no strong evidence that any catheter-related intervention, including the use of different catheter types or different insertion techniques, reduces the risks of PD peritonitis or other PD-related infections, technique failure or death (all causes). However, the numbers and sizes of studies were generally small and the methodological quality of available studies was suboptimal, such that the possibility that a particular catheter-related intervention might have a beneficial effect cannot be completely ruled out with confidence. PMID: 31149735 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Publication date: Available online 29 January 2019Source: Current Medicine Research and PracticeAuthor(s): Gaurav Singh, Satish Kumar Aggarwal, P.K. Pruthi, Kanav Anand, Pallav GuptaAbstractEncapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction in children. A 13-year-old boy on peritoneal dialysis (PD) for 2 years underwent laparotomy for intestinal obstruction which revealed extensive peritoneal thickening, encapsulation, and cocooning. The child got relief after creating ventral hernia. Obstruction recurred, and he died of sepsis. An active surveillance for EPS in children on PD should be carried out.
Source: Current Medicine Research and Practice - Category: General Medicine Source Type: research
Publication date: Available online 29 January 2019Source: Current Medicine Research and PracticeAuthor(s): Gaurav Singh, Satish Kumar Aggarwal, P.K. Pruthi, Kanav Anand, Pallav GuptaAbstractEncapsulating peritoneal sclerosis is a rare cause of intestinal obstruction in children. A 13 year old boy on peritoneal dialysis for 2 years underwent laparotomy for intestinal obstruction which revealed extensive peritoneal thickening, encapsulation and cocooning. Child got relief after creating ventral hernia. Obstruction recurred and he died of sepsis. An active surveillance for encapsulating peritoneal sclerosis in children on per...
Source: Current Medicine Research and Practice - Category: General Medicine Source Type: research
Conclusions: Minimally invasive surgery is a valid, safe and efficacious way of salvaging malfunctioning CAPD catheters. This modality reduces the chances of re-formation of adhesions, ensures rapid recovery, reduced wound-related complications and allows for early institution of peritoneal dialysis.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
Authors: Iqbal S, Iqbal MM, Chowdhury TA, Rahim MA, Bhuiyan ASMMM, Ananna MA, Chowdhury MAA, Hossain RM, Islam N, Islam MN Abstract Continuous ambulatory peritoneal dialysis (CAPD) is becoming increasingly known to the patients of Bangladesh, and patient numbers are increasing. Here, we report our experience and clinical outcomes in this field.Our analysis included all CAPD patients managed in a tertiary care hospital in Bangladesh between 2003 and 2015. All patients received a Tenckhoff double-cuff catheter by mini-laparotomy, and twin bags were used in most patients. In acute cases, regular exchanges were started...
Source: Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis - Category: Urology & Nephrology Tags: Adv Perit Dial Source Type: research
PM Dogra, AK Hooda, G Shanmugraj, SK PramanikIndian Journal of Nephrology 2018 28(4):291-297 Continuous ambulatory peritoneal dialysis (CAPD) is a standard renal replacement therapy, but there is a lack of consensus for catheter insertion method and type of catheter used. We retrospectively analyzed 140 peritoneal dialysis catheters (PDC) inserted in 139 CAPD patients by two methods; percutaneous (Group “P,” n = 47) and surgical mini laparotomy (Group “S,” n = 93) technique over a 39-month period, with cumulative experience of 2415 catheter-months: 745 catheter-months for Group “PR...
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research
Abstract Encapsulating peritoneal sclerosis (EPS) is a debilitating condition characterized by a fibrocollagenous membrane encasing the small intestine, resulting in recurrent small bowel obstructions. EPS is most commonly associated with long-term peritoneal dialysis, though medications, peritoneal infection, and systemic inflammatory disorders have been implicated. Many cases remain idiopathic. Diagnosis is often delayed given the rarity of the disorder combined with non-specific symptoms and laboratory findings. Although cross-sectional imaging with computed tomography of the abdomen can be suggestive of the di...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
CONCLUSION: Unanticipated decline in kidney function leading to unplanned start on HD contributes to the worse outcomes associated with failing to start PD. How and when we insert PD catheters appears to be key, and we have identified ways to improve our service. PMID: 29991559 [PubMed - as supplied by publisher]
Source: Peritoneal Dialysis International - Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research
Authors: Osako K, Sakurada T, Koitabashi K, Sueki S, Shibagaki Y Abstract The results of several recent studies indicate that the practice of peritoneal dialysis catheter (PDC) insertion by nephrologists is safe. However, few studies have addressed the important issue of safety in surgeries related to PD, including PDC removal and other types of surgery. In the present study, we aimed to verify whether the incidence of early postoperative complications for surgical procedures related to PD and performed by nephrologists meets the audit standards of clinical practice guidelines for peritoneal access.Between April 20...
Source: Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis - Category: Urology & Nephrology Tags: Adv Perit Dial Source Type: research
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