Skip to main content
SpringerLink
Log in

Sclerosing Peritonitis—A Further Complication of CAPD

  • Chapter
Frontiers in Peritoneal Dialysis

Summary

The most common complication of continuous ambulatory peritoneal dialysis (CAPD) is peritonitis which if severe or recurrent may necessitate removal of the peritoneal catheter. A further and serious complication of CAPD is sclerosing peritonitis (ScP). This condition is characterised by a partial or total encapsulation of the small bowel within a dense fibrous cocoon. Nine patients previously treated by CAPD developed ScP. The duration of CAPD ranged from 14 to 40 months and all had recurrent episodes of peritonitis often requiring catheter changes. The clinical features of ScP include recurrent abdominal pain, vomiting, malaise and weight loss preceeded by loss of ultrafiltration on CAPD. All cases required surgery for small bowel obstruction. Four patients died in the immediate post-operative period and two within 3 months from continuing small bowel obstruction. Three patients survived more than one year after operation but one subsequently died from a recurrence of ScP. The etiology of ScP is currently unclear but it represents an extremely serious potential complication of CAPD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Editorial: Ambulatory peritonitis. Lancet 1: 1104, 1982

    Google Scholar 

  2. Brown MW, Hamilton DNH, and Junor BJR: Surgical complications in patients on continuous ambulatory peritoneal dialysis. J R Coll Surg Edinburgh 28: 141, 1983

    CAS  Google Scholar 

  3. Gandhi VC, Humayun HM, Ing TS, Daugirdas JT, Jabolow VR, Iwatsuki S, Geis P, and Hano JE: Sclerotic thickening of the peritoneal membrane in maintenance peritoneal dialysis patients. Arch Intern Med 140: 1201, 1980

    Article  PubMed  CAS  Google Scholar 

  4. Denis J, Paineau J, Potel G, Fontenaille C, and Guenel J: Continuous ambulatory peritoneal dialysis. Ann Intern Med 93: 508, 1980

    Article  Google Scholar 

  5. Gandhi VC, Ing TS, Daugirdas JT, Hagen C, Blumenkrantz MJ, and Jablokow VR: Failure of peritoneal dialysis due to peritoneal sclerosis. Int J Artif Organs 6: 97, 1983

    PubMed  CAS  Google Scholar 

  6. Schmidt RW, and Blumenkrantz M: Peritoneal sclerosis: A “Sword of Damocles” for peritoneal dialysis? Arch Intern Med 141: 1265, 1980

    Article  Google Scholar 

  7. Rottembourg J, Gahi GM, Poignet JL, Mertani E, Strippoli P, Langlois P, Tranbaloc P, and Legrain M: Severe abdominal complications in patients undergoing continuous ambulatory peritoneal dialysis. Proc Eur Dial Transplant Assoc 20: 236, 1983

    PubMed  CAS  Google Scholar 

  8. Slingeneyer A, Canaud B, Mourad G, Bernaud JJ, Balmes M, and Mion C: Sclerosing peritonitis: Late and severe complication of long-term home peritoneal dialysis. Abst Am Soc Artif Intern Organs 12: 64, 1983

    Google Scholar 

  9. Bradley JA, Mc Whinnie DL, Hamilton DHN, Starnes F, Macpherson SG, Seywright M, Briggs JD, and Junor BJ: Sclerosing obstructive peritonitis after continuous ambulatory peritoneal dialysis. Lancet 2: 113, 1983

    Article  PubMed  CAS  Google Scholar 

  10. Bradley JA, Hamilton DNH, McWhinnie DL, Briggs JD, and Junor BJR: Sclerosing peritonitis after CAPD. Lancet 2: 572, 1983

    Article  PubMed  CAS  Google Scholar 

  11. Popovich RP, Moncrief JW, Decherd JB, Bomar JB, and Pyle WK: The definition of a portable/wearable equilibrium dialysis technique. Abst Am Soc Artif Intern Organs 5: 64, 1976

    Google Scholar 

  12. Oreopoulos DG, Robson M, Isatt S, Clayton S, and de Veber GA: A simple and safe technique for continuous ambulatory peritoneal dialysis. Trans Am Soc Artif Intern Organs 24: 484, 1978

    PubMed  CAS  Google Scholar 

  13. Oreopoulos DG, Khanna R, and Wu G: Sclerosing obstructive peritonitis after CAPD. Lancet 2: 409, 1983

    Article  PubMed  CAS  Google Scholar 

  14. Greenlee HB, Stanley HM, Reinhardt GF, and Chejfec G: Small bowel obstruction (SBO) from compression and kinking of intestine by thickened peritoneum in cirrhosis with ascites treated with LeVeen shunt. Gastroenterology 76: 1282, 1979

    Google Scholar 

  15. Brown P, Baddeley H, Read AE, Davies JD, and McGarry JM: Sclerosing peritonitis, an unusual reaction of a ß-adrenergic blocking drug (practolol). Lancet 2: 1477, 1974

    Article  PubMed  CAS  Google Scholar 

  16. Jacob H, Brandt L, Farcas P, and Frishman W: Betaadrenergic blockade and the gastrointestinal system. Am J Med 74: 1042, 1983

    Article  PubMed  CAS  Google Scholar 

  17. Marshall AJ, Baddeley H, Barritt DW, Davies JD, Lee REJ, Low-Beer TS, and Read AE: Practolol peritonitis. Q J Med 46: 135, 1977

    PubMed  CAS  Google Scholar 

  18. Harty RF: Sclerosing peritonitis and propranolol. Arch Intern Med 138: 1424, 1978

    Article  PubMed  CAS  Google Scholar 

  19. Ahmad S: Sclerosing peritonitis and propranolol. Chest 79: 361, 1981

    Article  PubMed  CAS  Google Scholar 

  20. Marigold JH, Pounder RE, Pemberton J, and Thompson RPH: Propranolol, oxprenolol and sclerosing peritonitis. Br Med J 1: 870, 1982

    Article  Google Scholar 

  21. Foo KT, Ng KC, Rauff A, Foong WC, and Sinniah R: Unusual small intestinal obstruction in adolescent girls—the abdominal cocoon. Br J Surg 65: 427, 1978

    Article  PubMed  CAS  Google Scholar 

  22. Sieck JO, Cowgill R, and Larkworthy W: Peritoneal encapsulation and abdominal cocoon. Gastroenterology 84: 1597, 1983

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departments of Surgery, Radiology, Pathology and Renal Unit, Western Infirmary Glasgow, Scotland

    D. L. McWhinnie, J. A. Bradley, S. P. Bramwell, D. N. H. Hamilton, S. G. Macpherson, L. P. Cram, I. A. R. More, M. A. Forwell, W. G. J. Smith, J. D. Briggs & B. J. R. Junor

Authors
  1. D. L. McWhinnie
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. A. Bradley
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. P. Bramwell
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. N. H. Hamilton
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. G. Macpherson
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. L. P. Cram
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. I. A. R. More
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. M. A. Forwell
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. W. G. J. Smith
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. J. D. Briggs
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. B. J. R. Junor
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    John F. Maher M.D. (Professor of Medicine) (Professor of Medicine)

  2. Georgetown University Medical Center, Washington, D.C., USA

    James F. Winchester M.D. (Associate Professor of Medicine) (Associate Professor of Medicine)

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

McWhinnie, D.L. et al. (1986). Sclerosing Peritonitis—A Further Complication of CAPD. In: Maher, J.F., Winchester, J.F. (eds) Frontiers in Peritoneal Dialysis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-11784-2_124

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-11784-2_124

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-11786-6

  • Online ISBN: 978-3-662-11784-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation