{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:50:59Z","timestamp":1791831059698,"version":"4.3.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Encapsulating peritoneal sclerosis (EPS), a rare but serious complication of long-term PD, is characterized by nausea, abdominal pain, weight loss, anorexia, and constipation. It can cause a significant deterioration in a patient's nutrition status. In the present study we examined changes in nutrition status and outcomes for patients with EPS treated conservatively without the use of surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients diagnosed with EPS at our institution between December 2006 and December 2010 were identified, and data on demographics, nutrition, and symptoms were collected every 2 months for 12 months and then at 18 and 24 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 15 patients identified, 12 were malnourished or at risk of malnutrition according to their subjective global assessment score, with 11 of the 15 presenting with more than 10% weight loss in the 6 months before diagnosis. Furthermore, symptom burden was high, with 11 of 15 patients reporting 2 or more gastrointestinal symptoms. Of the 15 patients, 12 required parenteral nutrition for a median of 4.5 months, and 5 died within the first 12 months after diagnosis. In the 10 survivors, albumin and C-reactive protein significantly improved over the 24 months after diagnosis. Improving trends in weight and symptoms were also observed in those patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In some patients with EPS, a conservative approach without surgical intervention, and with regular dietetic input and aggressive nutrition support, can lead to improved nutrition status and symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3747\/pdi.2012.00049","type":"journal-article","created":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T22:13:15Z","timestamp":1372716795000},"page":"538-543","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Nutrition Changes in Conservatively Treated Patients with Encapsulating Peritoneal Sclerosis"],"prefix":"10.1177","volume":"33","author":[{"given":"Nevine","family":"El-Sherbini","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Hammersmith Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neill","family":"Duncan","sequence":"additional","affiliation":[{"name":"Imperial College Kidney and Transplant Centre, Hammersmith Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Hickson","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hammersmith Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Johansson","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Hammersmith Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwina A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Imperial College Kidney and Transplant Centre, Hammersmith Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"key":"bibr1-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp008"},{"key":"bibr2-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(04)00953-9"},{"key":"bibr3-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1797.8.s.11.x"},{"key":"bibr4-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1177\/089686080502504S06"},{"key":"bibr5-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01820408"},{"key":"bibr6-pdi.2012.00049","volume-title":"A Practical Guide to Nutrition in Liver Disease.","author":"Madden A.","year":"1994"},{"key":"bibr7-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2007.05.004"},{"key":"bibr8-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2005.46.1.104"},{"key":"bibr9-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1177\/089686080802800314"},{"key":"bibr10-pdi.2012.00049","volume-title":"UK encapsulating Peritoneal sclerosis Clinical Practice Guidelines.","author":"Woodrow G.","year":"2009"},{"key":"bibr11-pdi.2012.00049","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1999.00410.x"},{"key":"bibr12-pdi.2012.00049","first-page":"119","volume":"18","author":"Nakamoto H.","year":"2002","journal-title":"Adv Perit Dial"}],"container-title":["Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3747\/pdi.2012.00049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3747\/pdi.2012.00049","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3747\/pdi.2012.00049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:20:03Z","timestamp":1777612803000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3747\/pdi.2012.00049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.3747\/pdi.2012.00049"],"URL":"https:\/\/doi.org\/10.3747\/pdi.2012.00049","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"value":"0896-8608","type":"print"},{"value":"1718-4304","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}