Nihon Toseki Igakkai Zasshi
Online ISSN : 1883-082X
Print ISSN : 1340-3451
ISSN-L : 1340-3451
Total parenteral nutrition as treatment for sclerosin encapsulating peritonitis in patients with continuous ambulatory peritoneal dialysis
Hiroyuki TerawakiYoshindo KawaguchiMasaaki NakayamaHitoshi KuboHiroyasu YamamotoNaohiko KatoNaoyuki OsakaKeiko OhiTakashi ShigematsuOsamu Sakai
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Keywords: CAPD
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1997 Volume 30 Issue 3 Pages 179-184

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Abstract
The authors treated 8 cases of CAPD-associated sclerosing encapsulating peritonitis (SEP) without a surgical approach. All patients received nasogastric tube and were treated with total parenteral nutrition (TPN). Total energy of alimentation was determined inductively based on nutritional parameters (48.0±5.06kcal/kgBw, mean±SD).
Five of eight patients were able to be discharged from hospital. Two of these five patients continued home treatment-based IVH after discharge, and three were completely removed from TPN. One patient died of aspiration pneumonia caused by intestinal obstruction, one died of arrythmia during hospitalization, and one has been treated by IVH upon hospitalization. It was concluded that proper TPN with gastric drainage was an effective treatment option for SEP, and may improve the quality-of-life of SEP patients.
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© The Japanese Society for Dialysis Therapy
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