Banshodani Masataka, Kawanishi Hideki, Moriishi Misaki, Shintaku Sadanori, Hashimoto Shinji, Tsuchiya Shinichiro
Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan
Department of Artificial Organs, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan Faculty of Medicine, Hiroshima University, Hiroshima, Japan.
Perit Dial Int. 2016;36(5):562-3. doi: 10.3747/pdi.2015.00260.
Surgical enterolysis is the final option for patients with encapsulating peritoneal sclerosis (EPS). However, EPS is sometimes refractory to surgical enterolysis. This is the first report of successful use of percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) in a patient with EPS that was refractory to surgical enterolysis. We propose that sustained drainage of digestive juices by PEG-J, along with central venous nourishment at home, can be a treatment option for patients with EPS that cannot be treated with radical measures.
手术肠粘连松解术是包裹性腹膜硬化症（EPS）患者的最终选择。然而，EPS有时对手术肠粘连松解术难以奏效。本文首次报道了在一例对手术肠粘连松解术难治的EPS患者中成功应用经皮内镜下胃造口术并延长至空肠（PEG-J）。我们认为，通过PEG-J持续引流消化液，同时在家中进行中心静脉营养支持，对于无法采取根治性措施治疗的EPS患者而言可以成为一种治疗选择。
