Eren S, Aydın S, Kantarci M, Kızılgöz V, Levent A, Şenbil DC, Akhan O. Percutaneous management in hepatic alveolar echinococcosis: A sum of single center experiences and a brief overview of the literature. World J Gastrointest Surg 2023; 15(3): 398-407 [PMID: 37032805 DOI: 10.4240/wjgs.v15.i3.398]
Corresponding Author of This Article
Düzgün Can Şenbil, MD, Academic Research, Doctor, Research Assistant, Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Hacı Ali akın Street, Erzincan 24100, Turkey. senbilcan@gmail.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Mar 27, 2023; 15(3): 398-407 Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.398
Percutaneous management in hepatic alveolar echinococcosis: A sum of single center experiences and a brief overview of the literature
Suat Eren, Sonay Aydın, Mecit Kantarci, Volkan Kızılgöz, Akın Levent, Düzgün Can Şenbil, Okan Akhan
Suat Eren, Department of Radiology, Faculty of Medicine, Atatürk University, Erzurum 25100, Turkey
Sonay Aydın, Mecit Kantarci, Volkan Kızılgöz, Akın Levent, Düzgün Can Şenbil, Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan 24100, Turkey
Okan Akhan, Department of Radiology, Hacettepe University, Ankara 06090, Turkey
Author contributions: Eren S, Aydın S and Kantarcı M contributed with data acquisition; Kızılgöz V performed the statistical analysis; Levent A, Senbil DC and Akhan O contributed to study design; Eren S and Kızılgöz V contributed to critical analysis; Senbil DC and Aydın S contributed to writing and critical review of the manuscript; All authors read and approved the final manuscript.
Institutional review board statement: The Ethics and Research Board of the Erzincan Binali Yıldırım University faculty of medicine approved the study, No. EBYU-KAEK-2020-001-297.
Informed consent statement: Written informed consent was obtained from the participants.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data used in this study is available from the corresponding author on reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Düzgün Can Şenbil, MD, Academic Research, Doctor, Research Assistant, Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Hacı Ali akın Street, Erzincan 24100, Turkey. senbilcan@gmail.com
Received: November 24, 2022 Peer-review started: November 24, 2022 First decision: December 10, 2022 Revised: December 18, 2022 Accepted: February 14, 2023 Article in press: February 14, 2023 Published online: March 27, 2023
Abstract
BACKGROUND
Hepatic alveolar echinococcosis (HAE) is a serious zoonotic infection that affects humans. It may have a tumor-like appearance at times. Percutaneous treatment of HAE patients is extremely relaxing for them. HAE is a significant human zoonotic infection caused by the fox tapeworm Echinococcus Multilocularis larvae. It possesses the characteristics of an invasive tumor-like lesion due to its infiltrative growth pattern and protracted incubation period. The disease is endemic over central Europe, Asia, and North America.
AIM
To characterize HAE patients who were treated percutaneously, their outcomes, and the major technical features of percutaneous treatment in HAE.
METHODS
Patients who were treated with percutaneous cyst drainage and/or percutaneous biliary drainage were included in the study. Uncorrected abnormal coagulation values and solid or non-infected HAE with minor necrotic change were excluded.
RESULTS
Thirty-two patients underwent percutaneous cyst drainage, two patients underwent percutaneous biliary drainage, and four patients underwent percutaneous biliary drainage alone. Interventional radiology is utilized to drain echinococcal necrosis and abscesses within/without the liver, as well as diseased and clogged bile ducts.
CONCLUSION
Percutaneous drainage of cyst contents and/or biliary channels using a minimally invasive technique is a very beneficial. Percutaneous cyst drainage with albendazole therapy improves quality of life in patients who are unable to undergo surgery, even when the mass resolves with long-term treatment.
Core Tip: Interventional radiology is utilized to drain echinococcal necrosis and abscesses within/without the liver either as palliative operations or as a bridge to radical resection. Percutaneous cyst drainage with albendazole therapy improves quality of life in patients who are unable to undergo surgery, even when the mass resolves with long-term treatment.
