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KMID : 0371420170920030164
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Annals of Surgical Treatment and Research
2017 Volume.92 No. 3 p.164 ~ p.167
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Encapsulating peritoneal sclerosis in liver transplant recipients: a report of 2 cases
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Lee Kyo-Won
Cho Chan-Woo
Lee Nu-Ri
Lee Sang-Hoon
Kim Jong-Man
Choi Gyu-Seong
Kwon Choon-Hyuck David
Joh Jae-Won
Lee Suk-Koo
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Abstract
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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.
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KEYWORD
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Peritoneal fibrosis, Liver transplantation, Intestinal obstruction
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FullTexts / Linksout information
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Listed journal information
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