Surgical enterolysis is the final option for patients with encapsulating peritoneal sclerosis (EPS). However, EPS is sometimes refractory to surgical enterolysis. This is the first report of successful use of percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in a patient with EPS that was refractory to surgical enterolysis. We propose that sustained drainage of digestive juices by PEG-J, along with central venous nourishment at home, can be a treatment option for patients with EPS that cannot be treated with radical measures.
KorteM.R., FierenM.W., SampimonD.E., LingsmaH.F., WeimarW., BetjesM.G.Tamoxifen is associated with lower mortality of encapsulating peritoneal sclerosis: results of the Dutch multicentre EPS study.Nephrol Dial Transplant2011; 26: 691–7.
7.
ScheidbachH., HorbachT., GroitlH., HohenbergerW.Percutaneous endoscopic gastrostomy/jejunostomy (PEG/PEJ) for decompression in the upper gastrointestinal tract. Initial experience with palliative treatment of gastrointestinal obstruction in terminally ill patients with advanced carcinomas.Surg Endosc1999; 13: 1103–5.
8.
SakuraiY., KimuraH., SunagawaR., FurutaS., InabaK., IsogakiJ.Percutaneous endoscopic gastrostomy for gastric decompression after repeated intestinal obstruction after open abdominal surgery.Surg Laparosc Endosc Percutan Tech2008; 18: 604–7.
