If you look at #5 post under TimT, it states the following: Cut and pasted:

Hi, I want to warn you about a possible fatal complication for Peritoneal Dialysis Pts. My father was on PD for one year, and just recently died from a fatal complication called Sclerosing Encapsulating Peritonitis. We all knew that peritonitis was a risk, but we were not informed that a complication could be SEP. You need to ask your doctor and renal center about this. I found studies and articles from around the world on people who have gotten SEP while on PD. For some reason the renal community does not talk about this rare, but VERY fatal complication from PD.
Take Care.

Can one of you nice RN's explain to me what in the hell this person is talking about? Is this common?

Would you like to know more about Sclerosing Encapsulating Peritonitis? I would be glad to help you out. Give you a "heads up", things to ask your doctor and renal center. Hopefully they will give you "straight answers". I also can give you links to articles on the internet all about Sclerosing Encapsulating Peritonitis written by doctors from around the world.
Take Care

If you are on Peritoneal Dialysis. Take a look at the piece of paper that comes with every box of dialysis solution bags. Delflex solution for example. Read the adverse reactions concerning peritoneal dialysis. The companies that make the solutions know about the adverse reactions, but some people in the renal community do not talk about this because they do not think this will happen to one of "their patients". But it is happening to people that are on peritoneal dialyis all over. Patients that are on PD or thinking about starting PD need to know all the pros and cons about starting PD. Show this paper to your doctors. Educate yourself. Ask your doctor about "peritoneal adhesions", this is the beginning of Sclerosing Encapsulating Peritonitis. Here is a link to just one of the articles on SEP that I found on the internet. It is very long, but very good. Show this to your doctors also. www.sin-italia.org/jnonline/vol12n6/DIPAOLO/Dipao.htm
Take Care.

quote:

Originally posted by JonK:
If you look at #5 post under TimT, it states the following: Cut and pasted:

Hi, I want to warn you about a possible fatal complication for Peritoneal Dialysis Pts. My father was on PD for one year, and just recently died from a fatal complication called Sclerosing Encapsulating Peritonitis. We all knew that peritonitis was a risk, but we were not informed that a complication could be SEP. You need to ask your doctor and renal center about this. I found studies and articles from around the world on people who have gotten SEP while on PD. For some reason the renal community does not talk about this rare, but VERY fatal complication from PD.
Take Care.

Can one of you nice RN's explain to me what in the hell this person is talking about? Is this common?

The information following was obtained from "The Textbook of Peritoneal Dialysis" Second Edition, edited by Ram Gokal, Ramesh Khanna, Raymond Krediet and Karl Nolph. In chapter 17, written by L. Fried and B. Piraino, it is stated that, "Sclerosing encapsulating peritonitis is an uncommon (1-2% of PD patients) but serious complication of PD". It can be seen even after transfer to hemodialysis and transplant.

Although SEP can have a high mortality rate when not detected and treated quickly many patients survive. It has also been reported to occur in patients that have never been on peritoneal dialysis or any other type of dialysis.

Recurrent episodes of peritonitis MAY be a predisposing factor, but this is not a consistant finding. It has been reported to occur as the first episode. The severity of the infecton makes a difference. That is why patients are taught to call as soon as they may suspect an epiosde. Treatment can be initiated quickly and the infection is mild.

Patients have been known to have 3 or more episodes of infection every year and never experience SEP.

Those of you considering peritoneal dialysis should be well informed of all the risks just as those that will choose hemodialysis. Both modalities are not without very serious risks. SEP, as stated above, is a uncommon complication.

I hope this helps with your questions and concerns.