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Surgical Aspects of Sclerosing Encapsulating Peritonitis
Dilip S. Kittur, MD, ScD;
Subhash W. Korpe, MD;
Roman E. Raytch, MD;
Gardner W. Smith, MD
Arch Surg. 1990;125(12):1626-1628.
Abstract
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• Sclerosing encapsulating peritonitis (SEP) is associated with the administration of beta-blocking agents as well as continuous ambulatory peritoneal dialysis. The predisposing factors in the latter group are recurrent peritonitis, presence of acetate in the dialysate, and antiseptics used during bag exchanges. We report a case of SEP following chronic ambulatory peritoneal dialysis and review the literature on this benign yet potentially lethal condition. Sclerosing encapsulating peritonitis frequently leads to intestinal obstruction, small-bowel necrosis, enterocutaneous fistulas, and malnutrition. There is a high incidence of anastomotic failure when a resection and primary intestinal anastomosis is performed in patients with SEP. Although SEP is not commonly reported in the surgical literature, its importance to surgeons is indicated by the fact that the overall mortality rate is close to 60% in patients with SEP who develop surgical complications.
(Arch Surg. 1990;125:1626-1628)
Author Affiliations
From the Department of Surgery, Francis Scott Key Medical Center, The Johns Hopkins University School of Medicine, Baltimore, Md (Drs Kittur, Raytch, and Smith); and the Shrikhande Clinic, Bombay, India (Dr Korpe).
Footnotes
Accepted for publication May 12, 1990.
Reprint requests to Francis Scott Key Medical Center, 4940 Eastern Ave, Baltimore, MD 21224 (Dr Kittur).
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