A Comparative Study of Conservative Management Versus Ultrasound Guided Aspiration of Small Amoebic Liver Abscess

Musa, Osman; Khan, Mohd Faizan; Shukla, B; Ansari, Nisar Ahmad; Rathore, Brijesh

doi:10.24041/ejmr2020.27

Cited by 4 publications

(4 citation statements)

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“…[31][32][33] The present study results showed all the cases to have reduction in volume on USG, Musa et al study on this dimension showed recurrence of abscess in conservative management was in 6 (20.0%) and need for surgical intervention was in 4 (13.3%) patients while in USG guided aspiration group only 1 (3.3%) patient showed recurrence. 34 The distribution of no of hospital days where most of the cases fall in the range between 12-20 days category for the present study, Bansal et al study in this dimension showed the hospital stay duration on average was 9.6 days which was more or less similar to this present study findings. Sharma et al study in same dimension showed the mean hospital stay of patients was 13.4 days which was not in conformity of the present study.…”

Section: Discussionsupporting

confidence: 88%

A study of different treatment modalities in management of liver abscess at tertiary care center

Indrajeet,

Tripathi,

Agrawal

et al. 2023

Int Surg J

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Background: Of all the visceral abscesses, the liver accounts for 48%. When a purulent substance collects in the liver parenchyma as a result of bacterial, parasite, fungal, or combination infections, it is called liver abscess. It is prevalent in India, accounting for the second largest prevalence, owing to insufficient sanitation, overcrowding, and malnutrition. As the liver is a susceptible organ to producing abscesses, whereas amoebic liver abscess is the utmost frequent kind of abscess in the developing world’s tropical regions, pyogenic abscess is more prevalent in affluent nations. The aims and objectives were to study the etiology, clinical manifestation, and predisposing factors of liver abscess; to compare the conservative and surgical treatment modalities of liver abscess; and to find out the outcome of these patients. Methods: After matching inclusion and exclusion criteria, 100 clinically diagnosed liver abscess patients were enrolled for this retrospective and prospective observational study. Patients were analysed for ultrasonography whole abdomen, complete blood picture and liver function test and subjected to conservative or surgical management. Results: The study group of 100 patients consisted of 83 (83%) male and 17 (17%) female with mean age of 40 years (18-70). 89 (89%) patients managed conservatively and 11 (11%) patients underwent for surgery. Patients with conservative management were found to have significant differences between outcome. Conclusions: This study concludes that conservative management has significantly better outcomes as compared to surgical management.

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Section: Discussionsupporting

confidence: 88%

A study of different treatment modalities in management of liver abscess at tertiary care center

Indrajeet,

Tripathi,

Agrawal

et al. 2023

Int Surg J

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“…PCD-related complications were major issues in previous reports [17]. There were no significant complications found due to PCD in this study.…”

Section: Table 3: Distribution Of Amoebic Etiology and Right Lobe Involvement In Different Treatment Strategies Discussionsupporting

confidence: 41%

“…Most of these studies were conducted before the widespread use of PCD for the treatment of liver abscesses. Results of these studies showed that PNA was more useful in higher abscess volume [15][16][17]. In this study, conservative management was non-inferior to PNA for the duration of hospitalization and duration of antibiotics used even when abscess volume was similar in both groups (130.8±72.9 vs 177.2±129.5 ml, p = 0.27).…”

Section: Table 3: Distribution Of Amoebic Etiology and Right Lobe Involvement In Different Treatment Strategies Discussionmentioning

confidence: 67%

Role of Pigtail Catheter Drainage Versus Percutaneous Needle Aspiration in the Management of Liver Abscess: A Retrospective Analysis

Kumar¹,

Midha²,

Ahari³

et al. 2021

Cureus

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IntroductionA liver abscess is an important health concern in tropical countries. Effective management of liver abscesses includes appropriate antibiotics and drainage of the abscess cavity. Percutaneous abscess drainage by pigtail catheterization is now gaining popularity. We analyzed the role of pigtail catheter drainage over percutaneous aspiration in the treatment of liver abscesses. Methods and materialThis was a retrospective analytical study conducted in a tertiary care center in western India. Patients of age ≥ 18 years admitted with the diagnosis of liver abscess were included in this study. To find the effectiveness of different treatment modalities, data were analyzed in three groups: Group A (Conservative treatment), Group B (Percutaneous needle aspiration), and Group C (Pigtail catheter drainage). ResultsA total of 64 patients with a liver abscess were analyzed. There was male predominance (93.75%). Mean abscess volume in Group C (307.9 ± 212.8 ml) was significantly higher when compared to Group A (130.8 ± 72.9 ml, p = 0.03) and Group B (177.2 ± 129.5; p = 0.024). The duration of hospital stay and residual abscess volume at the time of discharge did not show a statistically significant difference between treatment groups. Pigtail catheterization of abscesses with volume >150 ml shortened the hospital stay, whereas it prolonged the hospital stay in patients with abscess volume <150 ml. ConclusionPercutaneous pigtail catheterization would be an operative decision for the management of liver abscess. We concluded that the use of pigtail catheterization of patients with abscess volume > 150 ml improved the clinical outcome.

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“…These studies were mostly before gaining the popularity of PCD. Results of these studies showed that PNA was more useful in higher abscess volume (15,16,17). In this study, conservative management was non-inferior to PNA with respect to duration of hospitalization and duration of antibiotics used even when abscess volume was similar in both groups (130.8 ± 72.9 vs 177.2 ± 129.5 ml, p = 0.27).…”

Section: Discussionmentioning

confidence: 52%

Role of Pigtail Catheter Drainage in the Management of Liver Abscess – A Retrospective Analysis

Kumar

Ahari

Midha

et al. 2021

Preprint

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Introduction – Liver abscess (especially amoebic) is an important health concern in tropical countries. Effective management of liver abscess included appropriate antibiotics and drainage of abscess cavity. Percutaneous abscess drainage by pigtail catherization is now gaining popularity. We analysed the role of pigtail catheter drainage in the treatment of liver abscess.Method and Material – This was a retrospective analytical study conducted in a tertiary care center in western India. Data of total 64 patients admitted with diagnosis of liver abscess were analyzed. To find the effectiveness of treatment data were analyzed in three groups based on treatment strategies, Group A (Conservative treatment), Group B (Percutaneous needle aspiration) and Group C (Pigtail catheter drainage).Results – A total of 64 patients of liver abscess were analyzed. There was male predominance (93.75%). Mean abscess volume in Group C (307.9 ± 212.8 ml) was significantly higher when compared to Group A (130.8 ± 72.9 ml, p = 0.03) and Group B (177.2 ± 129.5; p = 0.024). Duration of hospital stay and residual abscess volume at the time of discharge did not show statistically significant difference between treatment groups. Pigtail catheterization of abscess with volume >150ml shortened the hospital stay, whereas it prolonged the hospital stay in patients with abscess volume <150ml.Conclusion - Percutaneous pigtail catherization would be an operative decision for management of liver abscess. We concluded that use of pigtail catherization of patients with abscess volume > 150ml improved the clinical outcome.

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A Comparative Study of Conservative Management Versus Ultrasound Guided Aspiration of Small Amoebic Liver Abscess

Cited by 4 publications

References 0 publications

A study of different treatment modalities in management of liver abscess at tertiary care center

A study of different treatment modalities in management of liver abscess at tertiary care center

Role of Pigtail Catheter Drainage Versus Percutaneous Needle Aspiration in the Management of Liver Abscess: A Retrospective Analysis

Role of Pigtail Catheter Drainage in the Management of Liver Abscess – A Retrospective Analysis

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