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Titolo:
Long-term outcome of asymptomatic liver hydatidosis
Autore:
Frider, B; Larrieu, E; Odriozola, M;
Indirizzi:
AssociatedUnit, Buenos Aires, Argerich Cty Hosp, Div Internal Med, HepatolAssociated Univ Buenos Aires Buenos Aires DF Argentina rnal Med, Hepatol Prov Council Publ Hlth, San Carlos De Bariloche, Rio Negro, Argentina ProvCouncil Publ Hlth San Carlos De Bariloche Rio Negro Argentina ntina Sangentina Bariloche Hosp, Div Surg, San Carlos De Bariloche, Rio Negro, Ar San Carlos Bariloche Hosp San Carlos De Bariloche Rio Negro Argentina Ar
Titolo Testata:
JOURNAL OF HEPATOLOGY
fascicolo: 2, volume: 30, anno: 1999,
pagine: 228 - 231
SICI:
0168-8278(199902)30:2<228:LOOALH>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN CYSTIC ECHINOCOCCOSIS; PERCUTANEOUS DRAINAGE; ALBENDAZOLE; DISEASE; EFFICACY;
Keywords:
albendazol; autopsy; echinococcosis; Echinococcus granulosus; follow-up; liver hydatidosis; liver cyst; screening; surgery; therapy; ultrasonography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Frider, B Salguero 2601, RA-1425 Buenos Aires, DF, Argentina Salguero 2601 Buenos Aires DF Argentina RA-1425 , DF, Argentina
Citazione:
B. Frider et al., "Long-term outcome of asymptomatic liver hydatidosis", J HEPATOL, 30(2), 1999, pp. 228-231

Abstract

Background/Aims: The aim of this study was to determine the outcome of asymptomatic liver hydatid cysts in a cohort of 33 out of 59 carriers by evaluating clinical and ultrasonographic (US) changes 10-12 years after initial diagnosis. Methods: We compared US features and cyst size with the original descriptions from 1984-1986. Patients were questioned about hydatid-related symptomsand signs. Results: Thirty-three of the 59 carriers could be reevaluated, five (15.2%) of whom had undergone surgery without presenting symptoms, while of 28 unoperated cases, 21 (75%) remained asymptomatic. Of the unoperated cases evaluated by US, in 8/14 (57.1%) there were no modifications in cyst size during the le 12-year period, in five (35.7%) growth was slight (<3 cm) and in one (7.1%) the cyst grew 4 cm. Mean cyst growth in all 14 cases was 0.7 cm. Conclusions: Despite the limited number of cases, our results show that most asymptomatic liver hydatid cases (75%) remain symptom-free for more than10 years, regardless of cyst size or type. We believe that such carriers are at low risk of developing complications, so that it is difficult to establish specific rules for their therapy if any. Longitudinal follow-up of larger series of asymptomatic hepatic hydatidosis cases is essential to gain a deeper insight into the natural history of such patients, and to draw up comprehensive guidelines for treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 16:56:18