Efficacy and morbidity of surgical therapy in end-stage encapsulating peritoneal sclerosis

Objective: Encapsulating peritoneal sclerosis (EPS) is a rare, but devastating complication of peritoneal dialysis comprised of chronic abdominal pain, chronic ileus, and severe malnutrition. In contrast to simple adhesiolysis, peritonectomy and enterolysis (PEEL) in EPS consists a decapsulation and a partial deserosation of the intestine. Therefore PEEL is burdened with an alarmingly high morbidity and mortality rate. We review our operated EPS patients regarding perioperative morbidity, mortality and long term outcome. Methods: Patients with end-stage EPS were identified in our EPS-registry. Only patients who…