Biomaterial Database

Hepatic cystic echinococcosis: percutaneous treatment as an outpatient procedure. 2014

Mert Köroğlu, and Bekir Erol, and Cemil Gürses, and Barış Türkbey, and Cem Yunus Baş, and Ahmet Şükrü Alparslan, and Banu Kale Köroğlu, and İclal Erdem Toslak, and Bülent Çekiç, and Okan Akhan

Clinic of Radiology, Antalya Education and Research Hospital, Antalya, Turkey.

OBJECTIVE To demonstrate utility and safety of the puncture aspiration injection and reaspiration (PAIR) technique for outpatients. METHODS Percutaneous treatment with US guidance was applied to 33 patients for 44 cysts. Patients treated with the PAIR technique, were outpatients. PAIR and catheterization technique were evaluated for efficacy and safety of procedure and complication rates. RESULTS Thirty-five of 44 cysts were treated with the PAIR and 9 of 44 were treated with the catheterization technique. The success rate of the cysts Gharbi type 1 (CE1) and type 2 (CE3a) treated with the PAIR technique was 100%. In the follow up of 9 cysts treated with the catheterization technique, 2 of them (22%) developed cyst infection and 1 (11%) developed a biliary fistula. CONCLUSIONS The PAIR technique was found to be an effective and safe approach in order to treat Gharbi type 1 and type 2 cysts percutaneously for outpatients. It has a very low complication rate in comparison with the catheterization technique. So every effort should be made to finish the treatment with PAIR technique.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011677	Punctures	Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.	Micropunctures,Micropuncture,Puncture
D004322	Drainage	The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
D004444	Echinococcosis, Hepatic	Liver disease caused by infections with parasitic tapeworms of the genus ECHINOCOCCUS, such as Echinococcus granulosus or Echinococcus multilocularis. Ingested Echinococcus ova burrow into the intestinal mucosa. The larval migration to the liver via the PORTAL VEIN leads to watery vesicles (HYDATID CYST).	Alveolar Echinococcosis, Hepatic,Echinococcosis, Hepatic Alveolar,Hydatid Cyst, Hepatic,Hydatidosis, Hepatic,Cyst, Hepatic Hydatid,Cysts, Hepatic Hydatid,Hepatic Alveolar Echinococcosis,Hepatic Echinococcosis,Hepatic Hydatid Cyst,Hepatic Hydatid Cysts,Hepatic Hydatidosis,Hydatid Cysts, Hepatic
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly