[Surgical treatment of sclerosing encapsulating XXXX ].

@entity1 @entity254 @entity177 @entity1744 @entity298 @entity10879
OBJECTIVES: Sclerosing encapsulating @entity298 (SEP) or @entity10879 is a rare disease characterized by the formation of a fibrocollagenous membrane that wraps around the loops of the small bowel, producing obstruction. We present the results of the surgical treatment of this disease in three @entity1 with @entity177 who developed SEP during the course of peritoneal dialysis (PD) and provide a literature review on the subject aimed at the general surgeon. @entity1 AND METHOD: In our area, the PD program treated 150 @entity1 in 14 years, with seven cases of suspected SEP. In three @entity1 , exploratory laparotomy was required. Clinical data, diagnostic imaging tests, type of surgery, immediate postoperative course, and status of the @entity1 during subsequent follow-up are described. RESULTS: In one of the three @entity1 , @entity1744 led to perforation requiring resection with @entity254 ; the postoperative course was complicated and the @entity1 died. In the remaining two @entity1 , elective surgery was performed with the aim of removing the capsule enclosing the intestinal loops. In both @entity1 the immediate postoperative course was favorable, although recurrence of intestinal encapsulation occurred in one @entity1 . CONCLUSIONS: The success of surgery in this disease is determined by the technique used. The correct technique consists of freeing the adhesions and extirpating of the capsule as far as possible. Perforation, as well as resection and intestinal @entity254 , significantly increase mortality.
