Scleosing encapsulating peritonitis(SEP) in patients on continous ambulatory peritoneal dialysis. Definition, diagnosis and treatment recommendations, 1997 update.

• Nomoto Yasuo

  Japanese SEP study group (Central office: Department of Internal Medicine, Tokai University, School of Medicine)

• Kawaguchi Yoshindo

  東京慈恵会医科大学内科学講座第2

• Sakai Shinji

  信楽園病院内科

• Hirano Hiroshi

  川崎医科大学腎臓内科

• Kubo Hitoshi

  東京慈恵会医科大学青戸病院腎高血圧科

• Ohira Seiji

  日鋼記念病院

• Honma Sumiko

  自治医科大学腎臓内科

• Yamagata Kunihiro

  日立総合病院腎臓内科

• Miura Yasuhiko

  国立佐倉病院内科

• Kimura Yasuo

  東京慈恵会医科大学柏病院総合内科

• Kuriyama Satoru

  済生会中央病院内科

• Hara Shigeko

  虎の門病院血液浄化療法部

• Hamada Chieko

  順天堂大学腎臓内科

• Sanaka Tsutomu

  東京女子医科大学第4内科

• Nakao Toshiyuki

  東京医科大学腎臓科

• Honda Masataka

  都立清瀬小児病院腎内科

• Yokota Shinji

  相模台病院腎センター

• Suga Takao

  東海大学大磯病院腎臓糖尿病内科

• Mori Noriko

  静岡県立総合病院循環器科

• Shimomura Akira

  下村クリニック

• Kim Masao

  白鷺病院内科

• Imada Akio

  近畿大学第3内科

• Tanaka Ryoji

  赤磐郡医師会病院内科

• Kawanishi Hideki

  あかね会土谷総合病院

• Edakuni Setsuo

  久留米第一病院腎センター

• Fukui Hiroyoshi

  熊本中央病院腎臓科

• Nakamoto Masahiko

  済生会八幡総合病院腎センター

• Kurokawa Kiyoshi

  Japanese SEP study group (Central office: Department of Internal Medicine, Tokai University, School of Medicine)

Bibliographic Information

Other Title

• 硬化性被嚢性腹膜炎（ｓｃｌｅｒｏｓｉｎｇ　ｅｎｃａｐｓｕｌａｔｉｎｇ　ｐｅｒｉｔｏｎｉｔｉｓ，　ＳＥＰ）診断・治療方針（案）　　１９９７年における改訂
• Definition, diagnosis and treatment recommendations, 1997 update
• 1997年における改訂

Abstract

Sclerosing encapsulating peritonitis (SEP) is one of the most serious complications of CAPD. To revise the definition, diagnosis and therapeutic strategy for sclerosing encapsulating peritonitis (SEP) in patients on CAPD proposed over the last 3 years, a consensus meeting on SEP was held on November 29, 1997 in Tokyo. We confirmed that SEP is defined as clinical entity demonstrating persistent, intermittent and/or recurrent clinical symptoms due to adhesive bowel obstruction in patients receiving peritoneal dialysis. This year, we made minor changes concerning the recommended treatment of SEP. The basic strategy for the treating SEP is sustained bowel rest. Long-term total parental nutrition (TPN) therapy is effective for treating SEP patients. It was reported that steroid pulse therapy was effective in 6 of 8 and corticosteroid administration was effective in 15 of 23 patients treated at 26 hospitals, although there were some reports of fatal outcomes. This therapeutic intervention as well as an immunosuppressive regimen should be evaluated in a large patient population.<br>We also proposed criteria for discontinuing CAPD to prevent the development of SEP in adult and pediatric patients. However, SEP showed heterogeneity among individual patients. Therefore, we proposed only a basic strategy for treating SEP in this revised version. Further study is needed in this area.

Journal

• Nihon Toseki Igakkai Zasshi

  Nihon Toseki Igakkai Zasshi 31 (4), 303-311, 1998

  The Japanese Society for Dialysis Therapy

Keywords

• 腹膜透析
• 慢性腎不全
• 腹膜炎

Details

• CRID: 1390001204676132096
• NII Article ID: 130003721477
• DOI: 10.4009/jsdt.31.303
• ISSN: 1883082X
• ISSN: 13403451
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed