Encapsulating peritoneal sclerosis in liver transplant recipients: a report of 2 cases
Annals of Surgical Treatment and Research
;
: 164-167, 2017.
Article
in English
| WPRIM
| ID: wpr-226732
ABSTRACT
Encapsulating peritoneal sclerosis (EPS) is a rare cause of intestinal obstruction by a thick fibrous membrane wrapping around the small intestine. It is a possible complication after liver transplantation (LT) that can be fatal. This report describes 2 cases of EPS after LT that were successfully treated with surgery, corticosteroids, tamoxifen, and mammalian target of rapamycin inhibitor. After treatment in both cases, the patients were able to start oral feeding and have been symptom free for more than 1 year. These cases suggests that for the management of EPS, surgical treatment is mandatory when the patients present with symptoms of intestinal obstruction or if there are findings suggestive of decreased mural perfusion. Surgery should be accompanied with medical treatment to prevent the relapse of EPS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Recurrence
/
Tamoxifen
/
Liver Transplantation
/
Adrenal Cortex Hormones
/
Sirolimus
/
Peritoneal Fibrosis
/
Transplant Recipients
/
Intestinal Obstruction
/
Intestine, Small
Limits:
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2017
Type:
Article
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