BACKGROUND: @entity2976 ( @entity2976 ) is a rare but serious complication of @entity298 ( @entity298 ). @entity1744 ( @entity1744 ) due to encapsulation, dense adhesions, or mural fibrous is characteristic, often associated with @entity298 . The aim of the study was to determine the incidence, clinical features, effect of duration of dialysis, and other possible aetiological factors in severe @entity2976 . METHODS: All dialysis units in Australia were surveyed for possible cases up to 1994. @entity1 were included if there was either surgical or radiological evidence of sclerosing encapsulating @entity298 or @entity1744 with tanned or thickened peritoneum in the absence of other causes of @entity1744 . RESULTS: Fifty-four @entity1 were analysed. The duration of continuous @entity298 was mean 52 +/- 30 months, median 48 months and range 8-127 months. Nineteen cases were diagnosed between 1980 and 1989 and 35 between 1990 and 1994, giving mean annual incidences 1.9 and 4.2 per 1000 @entity298 periods respectively. The overall prevalence was 0.7%, which increased progressively with the duration of @entity298 being 1.9, 6.4, 10.8, and 19.4% for @entity1 on dialysis for > 2, 5, 6 and 8 years respectively. Sclerosing encapsulating @entity298 was diagnosed in 87% of cases, @entity1744 in 92%, and haemoperitoneum in 8%. Peritoneal calcification was present in seven cases, all of which had been on @entity298 > 7 years. @entity298 was associated with 38% of cases with @entity364 in 7%. Treatment with immunosuppression in five @entity1 appeared to result in a favourable outcome in three. The mortality rate was 56%. CONCLUSION: Severe @entity2976 is a serious complication of @entity298 and there is a time dependent increase on CAPD.

XXXX : the experience in Australia.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity2976 :: ('MESH:D056627', 'Disease') :: ['sclerosing peritonitis', 'SP', 'Sclerosing peritonitis'] @entity364 :: ('MESH:D009181', 'Disease') :: ['fungal infection'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['Small-bowel obstruction', 'SBO'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritoneal dialysis', 'PD', 'Peritonitis', 'peritonitis']
@entity2976 :: (MESH:D056627,Disease) :: ['Sclerosing peritonitis']
