Sonographically Guided Percutaneous Treatment of Hepatic Hydatid Cysts: Long-Term Results
dc.contributor.author | Ödev, Kemal | |
dc.contributor.author | Paksoy, Yahya | |
dc.contributor.author | Arslan, Ahmet | |
dc.contributor.author | Aygün, Erşan | |
dc.contributor.author | Şahin, Mustafa | |
dc.contributor.author | Karaköse, Serdar | |
dc.contributor.author | Baykan, Mahmut | |
dc.contributor.author | Arıkoğlu, Hilal | |
dc.contributor.author | Aksoy, Faruk | |
dc.date.accessioned | 2020-03-26T16:36:19Z | |
dc.date.available | 2020-03-26T16:36:19Z | |
dc.date.issued | 2000 | |
dc.department | Selçuk Üniversitesi | en_US |
dc.description.abstract | Purpose. The purpose of this study was to evaluate the safety and efficacy of sonographically guided percutaneous drainage and irrigation of hepatic hydatid cysts. Methods. Sixty-one patients with 84 hepatic hydatid cysts were treated using the puncture, aspiration, injection, and reaspiration (PAIR) technique under sonographic guidance. Patients with cysts larger than 6 cm in diameter underwent PAIR followed by percutaneous drainage (PAIR-PD). The cysts were sterilized by the injection of 1 of 2 scolicidal agents, 20% hypertonic saline solution (38 patients) or 0.5% silver nitrate (23 patients). All patients underwent follow-up examinations for 1 month-6 years after aspiration. Clinical and radiologic examinations and laboratory analyses were performed every month for the first 6 months and then at 3-month intervals. Results. Serial sonographic examinations revealed a heterogeneous echo pattern in 78 cysts (93%); a progressive decrease in diameter in 76 cysts (90%); calcification of the cyst wall, cystic contents, or both in 10 cysts (12%); and complete disappearance of 1 cyst (1%) in a patient who had been monitored for over 6 years. Five patients developed urticaria, and 6 developed fever. One patient developed a biliary fistula after the first aspiration attempt. Two patients developed infection of the cyst cavity after PAIR-PD and were successfully treated with oral antibiotics. An anaphylactic reaction developed in 2 patients and was successfully treated with antiallergenic medication. No recurrence of hydatid disease after PAIR or PAIR-PD was observed in any patient over the follow-up period of 72months (mean, 26 +/- 27 months). Conclusions. Percutaneous drainage of hydatid cysts is a safe, effective, and reliable treatment. Antiallergenic medication is required before PAIR or PAIR-PD. Both sclerosing agents, hypertonic saline and silver nitrate solutions, gave excellent results. | en_US |
dc.identifier.citation | Ödev, K., Paksoy, Y., Arslan, A., Aygün, E., Şahin, M., Karaköse, S., Baykan, M., Arıkoğlu, H., Aksoy, F., (2000). Sonographically Guided Percutaneous Treatment of Hepatic Hydatid Cysts: Long-Term Results. Journal of Clinical Ultrasound, 28(9), 469-478. Doi: 10.1002/1097-0096(200011/12)28:9<469 | |
dc.identifier.doi | 10.1002/1097-0096(200011/12)28:9<469 | en_US |
dc.identifier.endpage | 478 | en_US |
dc.identifier.issn | 0091-2751 | en_US |
dc.identifier.issue | 9 | en_US |
dc.identifier.pmid | 11056024 | en_US |
dc.identifier.scopusquality | Q3 | en_US |
dc.identifier.startpage | 469 | en_US |
dc.identifier.uri | https://dx.doi.org/10.1002/1097-0096(200011/12)28:9<469 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12395/17248 | |
dc.identifier.volume | 28 | en_US |
dc.identifier.wos | WOS:000165076900004 | en_US |
dc.identifier.wosquality | Q3 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.institutionauthor | Ödev, Kemal | |
dc.institutionauthor | Paksoy, Yahya | |
dc.institutionauthor | Arslan, Ahmet | |
dc.institutionauthor | Aygün, Erşan | |
dc.institutionauthor | Şahin, Mustafa | |
dc.institutionauthor | Karaköse, Serdar | |
dc.institutionauthor | Baykan, Mahmut | |
dc.institutionauthor | Arıkoğlu, Hilal | |
dc.institutionauthor | Aksoy, Faruk | |
dc.language.iso | en | en_US |
dc.publisher | John Wiley & Sons Inc | en_US |
dc.relation.ispartof | Journal of Clinical Ultrasound | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.selcuk | 20240510_oaig | en_US |
dc.subject | hydatid cyst | en_US |
dc.subject | percutaneous treatment | en_US |
dc.subject | hypertonic saline | en_US |
dc.subject | ultrasonography | en_US |
dc.subject | liver | en_US |
dc.subject | silver nitrate | en_US |
dc.title | Sonographically Guided Percutaneous Treatment of Hepatic Hydatid Cysts: Long-Term Results | en_US |
dc.type | Article | en_US |
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