TITLE

Prospective Randomized Comparison of Ultrasound‑Guided Percutaneous Needle Aspiration with Percutaneous Catheter Drainage of Liver Abscesses

AUTHOR(S)

Singh, Paramdeep; Tapasvi, Chaitanya; Kaur, Rupinderjeet; Aggarwal, Simmi; Nagpal, Nitin; Kaur, Rashmeet

PUB. DATE

March 2019

SOURCE

Journal of Medical Science;Mar/Apr2019, Vol. 39 Issue 2, p67

SOURCE TYPE

Academic Journal

DOC. TYPE

Article

ABSTRACT

Background and Aims: Modern treatment of liver abscesses comprises combination of antibiotics and image‑guided percutaneous needle aspiration (PNA) or percutaneous catheter drainage (PCD). However, there is debate regarding the choice of these interventions as the first line of management. Our aim was to compare the results of ultrasound‑guided PCD with PNA in the management of liver abscesses. Materials and Methods: A total of 66 patients (55 males; 11 females, 18–65 years) who were diagnosed with liver abscesses were randomly divided into two groups of 33 patients each, namely ultrasound‑guided PNA group (with a maximum of three attempts) and the PCD group. The outcomes of the treatment of the patients of these groups were documented and analyzed. Results: PNA was effective in 20 (61%) of the 33 patients after one (n = 14), two (n = 4), or three (n = 2) aspirations while PCD was therapeutic in all 33 patients after one (n = 29) or two (n = 4) procedures and without any major complications in both groups. All abscesses 45 mm or less in longest dimension were efficaciously managed, by both PCD as well as PNA while the later failed in case of multiloculated abscesses. The mean duration of intravenous antibiotics and time to clinical relief were significantly lesser in the PCD group. However, a period of hospital stay and time to complete resolution of abscess cavities did not differ significantly between the groups. Conclusions: Overall, PCD is more effective than PNA in the management of liver abscesses; the later, however, can be employed for smaller and simple abscesses.

ACCESSION #

136737354

 

Related Articles

• Percutaneous catheter drainage in the treatment of abdominal compartment syndrome. Amitha Vikrama, K. S.; Shyamkumar, N. K.; Vinu, Moses; Joseph, Philip; Vyas, Frederick; Venkatramani, Sitaram // Canadian Journal of Surgery;Feb2009 Supplement, Vol. 52, pE19 

  The article presents a case study of a 20-year-old man suffering from hemoperitoneum and liver laceration. He also had multiple rib fractures, pelvic fractures, and minimal right hemothorax. He was diagnosed with Abdominal Compartment Syndrome through ultrasonography and measured the...

• Vücutta farklı lokalizasyonlardaki apse odaklarının trokar tip kateterle tek basamakta tedavisi: Ä°ki yıllık deneyim sonuçları. Özbek, Orhan; Nayman, Alaaddin; Çakır, Murat; Küçükapan, Ahmet; Tekin, Ahmet; Koç, Osman // Dicle Medical Journal / Dicle Tip Dergisi;2011, Vol. 38 Issue 4, p445 

  Objectives: The aim of this study was to emphasize the feasibility and cost effectiveness of trocar type catheter in percutaneous abscess drainage under imaging guidance and to determine the clinical efficacy of the method. Materials and methods: From June 2008 to December 2010, 48 patients who...

• AMEBIC LIVER ABSCESS; INCODENCE AND OUTCOME. Khan, Rana Asrar Ahmad; Hameed, Fakhar; Bashir, M. Badar; Rana, Mohamad Mohsin; Mazhar, Hamed Raza // Professional Medical Journal;Oct2010, Vol. 17 Issue 4, p527 

  Amoebic liver abscess is a common infection in third world countries like ours due to poor sanitary arrangements. It presents with severe pain and high grade fever and if not diagnosed and treated promptly, may lead to complications and mortality. Objectives: To estimate the incidence, need for...

• Minimalni invazivni tretman simptomatskih bubrežnih cisti. Junuzović, Dželaludin; Omerović, Safet; Bajramović, Senad // Medical Archives / Medicinski Arhiv;2008, Vol. 62 Issue 5/6, p279 

  Purpose: To present minimally invasive treatment of symptomatic renal cysts and compare treatment efficacy of single-session percutaneous aspiration and sclerotherapy using 96% alcohol versus prolonged percutaneous drainage without sclerosing agents in the treatment of symptomatic non-parasitic...

• drain, surgical. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p244 

  An encyclopedia entry for "surgical drain" is presented. It refers to an equipment that is inserted into a body cavity or a wound in order to release air or allow drainage of fluid. The kinds of drains were simple soft rubber tubes that pass from a body cavity into a dressing and wide-bore tubes...

• Clinical presentation and diagnostic difficulties in amoebic liver abscess. Suthar, Kaushal D. // NHL Journal of Medical Sciences;Jul2014, Vol. 3 Issue 2, p40 

  Background Amoebic liver abscess (ALA) is a common and major health problem in India. ALA has a highly variable presentation, causing diagnostic difficulties. Early and correct diagnosis of Amoebic liver abscess is essential, because delayed diagnosis and treatment leads to complications which...

• Pyogenic Abscess of the Liver. Abbruzzese, Americo A.; Khaja, Nazir-Uddin // American Journal of Gastroenterology;Sep1972, Vol. 58 Issue 3, p288 

  Seven patients with pyogenic liver abscesses are presented. Obscure and persistent fever is the hallmark of this disease which can be diagnosed most reliably by hepatic scanning. Prompt surgical drainage is the treatment of choice.

• MANAGEMENT OF LIVER ABSCESS. Zakaria, Andee Dzulkarnaen; Hassan, Syed; Ramely, Siti Norzulaikha binti; Sulaiman, Syed Azhar Syed; Khan, Amer Hayat // Journal of Pharmaceutical & Scientific Innovation;Jan/Feb2014, Vol. 3 Issue 1, p105 

  Liver abscess is a pus-filled area in the liver. It is a fairly common disease in Malaysia. The frequent types of liver abscess seen in Malaysia are amoebic and pyogenic abscess. Cultures for pyogenic organisms are often negative. The patient is 38 years old, male admitted to HUSM medical ward...

• Management of delayed suprachoriodal haemorrhage after intraocular surgery and trauma. Jin, Wei; Xing, Yiqiao; Xu, Yaopeng; Wang, Wenjun; Yang, Anhuai // Graefe's Archive of Clinical & Experimental Ophthalmology;Aug2014, Vol. 252 Issue 8, p1189 

  Backgroud: To indentify surgical risk factors for delayed suprachoroidal haemorrhage (DSCH) and to report the outcomes of an effective intervention in a consecutive of patients. Methods: The clinical data of ten patients diagnosed with DSCH in our hospital between July 2007 and December 2012...

Read the Article