Scleosing encapsulating peritonitis(SEP) in patients on continous ambulatory peritoneal dialysis. Definition, diagnosis and treatment recommendations, 1997 update.
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- Nomoto Yasuo
- Japanese SEP study group (Central office: Department of Internal Medicine, Tokai University, School of Medicine)
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- Kawaguchi Yoshindo
- 東京慈恵会医科大学内科学講座第2
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- Sakai Shinji
- 信楽園病院内科
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- Hirano Hiroshi
- 川崎医科大学腎臓内科
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- Kubo Hitoshi
- 東京慈恵会医科大学青戸病院腎高血圧科
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- Ohira Seiji
- 日鋼記念病院
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- Honma Sumiko
- 自治医科大学腎臓内科
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- Yamagata Kunihiro
- 日立総合病院腎臓内科
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- Miura Yasuhiko
- 国立佐倉病院内科
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- Kimura Yasuo
- 東京慈恵会医科大学柏病院総合内科
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- Kuriyama Satoru
- 済生会中央病院内科
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- Hara Shigeko
- 虎の門病院血液浄化療法部
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- Hamada Chieko
- 順天堂大学腎臓内科
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- Sanaka Tsutomu
- 東京女子医科大学第4内科
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- Nakao Toshiyuki
- 東京医科大学腎臓科
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- Honda Masataka
- 都立清瀬小児病院腎内科
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- Yokota Shinji
- 相模台病院腎センター
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- Suga Takao
- 東海大学大磯病院腎臓糖尿病内科
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- Mori Noriko
- 静岡県立総合病院循環器科
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- Shimomura Akira
- 下村クリニック
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- Kim Masao
- 白鷺病院内科
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- Imada Akio
- 近畿大学第3内科
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- Tanaka Ryoji
- 赤磐郡医師会病院内科
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- Kawanishi Hideki
- あかね会土谷総合病院
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- Edakuni Setsuo
- 久留米第一病院腎センター
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- Fukui Hiroyoshi
- 熊本中央病院腎臓科
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- Nakamoto Masahiko
- 済生会八幡総合病院腎センター
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- Kurokawa Kiyoshi
- Japanese SEP study group (Central office: Department of Internal Medicine, Tokai University, School of Medicine)
Bibliographic Information
- Other Title
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- 硬化性被嚢性腹膜炎(sclerosing encapsulating peritonitis, SEP)診断・治療方針(案) 1997年における改訂
- Definition, diagnosis and treatment recommendations, 1997 update
- 1997年における改訂
Abstract
Sclerosing encapsulating peritonitis (SEP) is one of the most serious complications of CAPD. To revise the definition, diagnosis and therapeutic strategy for sclerosing encapsulating peritonitis (SEP) in patients on CAPD proposed over the last 3 years, a consensus meeting on SEP was held on November 29, 1997 in Tokyo. We confirmed that SEP is defined as clinical entity demonstrating persistent, intermittent and/or recurrent clinical symptoms due to adhesive bowel obstruction in patients receiving peritoneal dialysis. This year, we made minor changes concerning the recommended treatment of SEP. The basic strategy for the treating SEP is sustained bowel rest. Long-term total parental nutrition (TPN) therapy is effective for treating SEP patients. It was reported that steroid pulse therapy was effective in 6 of 8 and corticosteroid administration was effective in 15 of 23 patients treated at 26 hospitals, although there were some reports of fatal outcomes. This therapeutic intervention as well as an immunosuppressive regimen should be evaluated in a large patient population.<br>We also proposed criteria for discontinuing CAPD to prevent the development of SEP in adult and pediatric patients. However, SEP showed heterogeneity among individual patients. Therefore, we proposed only a basic strategy for treating SEP in this revised version. Further study is needed in this area.
Journal
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- Nihon Toseki Igakkai Zasshi
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Nihon Toseki Igakkai Zasshi 31 (4), 303-311, 1998
The Japanese Society for Dialysis Therapy
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Details 詳細情報について
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- CRID
- 1390001204676132096
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- NII Article ID
- 130003721477
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- ISSN
- 1883082X
- 13403451
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed