Amebic liver abscesses. Three years' experience.
BACKGROUND: amebic liver abscess is frequently seen in endemic regions, and has a poor prognosis when diagnosis and treatment are inappropriate. AIM: to evaluate and compare our own results; to propose a new classification and therapeutic algorithm. DESIGN: an observational and retrospective study....
| Publicado en: | Spanish Journal of Gastroenterology / Revista Española de Enfermedades Digestivas Vol. 100; no. 5; pp. 268 - 273 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Aran Ediciones S.A.
2008 May
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105805442&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105805442 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11300108 YU3 jtl: Spanish Journal of Gastroenterology / Revista Española de Enfermedades Digestivas issn: 11300108 maglogo: N pubinfo: dt: 2008 May vid: 100 iid: 5 pid: 20394 pub: Aran Ediciones S.A. artinfo: ui: 105805442 105805442 2009954335 NLM18662078 105805442 ppf: 268 ppct: 5 formats: tig: atl: Amebic liver abscesses. Three years' experience. aug: au: Nari GA Ceballos Espinosa R Carrera Ladron de Guevara S Preciado Vargas J Cruz Valenciano JL Briones Rivas JL Moreno Hernández F Gongora Ortega J sug: subj: Liver Abscess, Amebic Diagnosis Drainage Methods Gastroenterology Care Human ab: BACKGROUND: amebic liver abscess is frequently seen in endemic regions, and has a poor prognosis when diagnosis and treatment are inappropriate. AIM: to evaluate and compare our own results; to propose a new classification and therapeutic algorithm. DESIGN: an observational and retrospective study. METHOD: medical records were reviewed for sex, age, signs and symptoms, images, laboratory tests, size, location, treatment, hospital stay, and morbidity-mortality. RESULTS: sixteen patients with amebic liver abscess had been treated -9 were males, mean age was 30.56 years, all abscesses were solitary, 14 were in the right hepatic lobe, average size was 63.25, and 10 were of the collected type according to N Gbesso s classification. Seven patients had a good response to medical treatment, 6 needed percutaneous drainage, and 3 required surgery. Morbidity was 12.5% and mortality 0%. Average hospital stay was 7.68 days. CONCLUSION: our results are similar to those in other published series. The addition of two new groups to N Gbesso s classification provides better therapeutic orientation. We believe that early percutaneous drainage for collected abscesses bigger than 5 cm may improve symptoms and shorten hospital stay. pubtype: Periodical doctype: research tables/charts Journal Article ougenre: Article language: Spanish refInfo: holdings: @attributes: islocal: N |
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