Published online Jan 14, 2015. doi: 10.3748/wjg.v21.i2.675
Peer-review started: July 30, 2014
First decision: August 27, 2014
Revised: September 20, 2014
Accepted: December 1, 2014
Article in press: December 1, 2014
Published online: January 14, 2015
Core tip: Idiopathic sclerosing encapsulating peritonitis (SEP) is a clinical entity characterized by partial or complete encasement of the small intestines by a thick fibrocollagenous membrane. While some patients with idiopathic SEP are asymptomatic, the majority of affected individuals develop acute, subacute or chronic attacks of gastrointestinal obstruction. Preoperative diagnosis of the disease is quite difficult, and many cases are diagnosed intraoperatively. Nonetheless, recent technological advances in imaging modalities, particularly computed tomography, have made preoperative diagnosis of SEP possible. Surgery remains the best management option for patients with severe signs of intestinal obstruction.