Total parenteral nutrition as treatment for sclerosin encapsulating peritonitis in patients with continuous ambulatory peritoneal dialysis

Hiroyuki Terawaki; Yoshindo Kawaguchi; Masaaki Nakayama; Hitoshi Kubo; Hiroyasu Yamamoto; Naohiko Kato; Naoyuki Osaka; Keiko Ohi; Takashi Shigematsu; Osamu Sakai

doi:10.4009/jsdt.30.179

Hiroyuki Terawaki, Yoshindo Kawaguchi, Masaaki Nakayama, Hitoshi Kubo, Hiroyasu Yamamoto, Naohiko Kato, Naoyuki Osaka, Keiko Ohi, Takashi Shigematsu, Osamu Sakai

Author information

Hiroyuki Terawaki
Second Department of Internal Medicine, Jikei University, School of Medicine
Yoshindo Kawaguchi
Second Department of Internal Medicine, Jikei University, School of Medicine
Masaaki Nakayama
Second Department of Internal Medicine, Jikei University, School of Medicine
Hitoshi Kubo
Second Department of Internal Medicine, Jikei University, School of Medicine
Hiroyasu Yamamoto
Second Department of Internal Medicine, Jikei University, School of Medicine
Naohiko Kato
Second Department of Internal Medicine, Jikei University, School of Medicine
Naoyuki Osaka
Second Department of Internal Medicine, Jikei University, School of Medicine
Keiko Ohi
Second Department of Internal Medicine, Jikei University, School of Medicine
Takashi Shigematsu
Second Department of Internal Medicine, Jikei University, School of Medicine
Osamu Sakai
Second Department of Internal Medicine, Jikei University, School of Medicine

Keywords: CAPD

JOURNAL FREE ACCESS

1997 Volume 30 Issue 3 Pages 179-184

DOI https://doi.org/10.4009/jsdt.30.179

Details

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.

Corresponding author

Register with J-STAGE for free!