EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Long Version)

Dietrich, CF; Lorentzen, T.; Appelbaum, L.; Buscarini, Elisabetta; Cantisani, Vito; Corréas, J.M.; Cui, Xin‐Wu; D’Onofrio, Mirko; Gilja, Odd Helge; Hocke, Michael; Ignee, A.; Jenssen, Christian; Kabaalioğlu, Adnan; Leen, Eoin N; Nicolau, C.; Nolsøe, Christian Pállson; Radziņa, Maija; Serra, Carla; Sidhu, Paul S.; Spârchez, Zeno; Piscaglia, Fabio

doi:10.1055/s-0035-1553917

Cited by 49 publications

(55 citation statements)

References 186 publications

(245 reference statements)

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“…Patients with biliary atresia, which is the most common cause of neonatal obstructive jaundice, would also benefit from non-invasive follow-up assessment after the Kasai portoenterostomy to determine the best timing for liver transplantation [29,32]. Regarding the indications, contraindications and the technique used, we refer to the published literature [33][34][35][36][37][38][39][40][41].…”

Section: Possible Indications For Shear Wave Elastography (Swe) Measumentioning

confidence: 99%

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

et al. 2018

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Featured Application: In this review we present and discuss the published literature on the use of ultrasound-based liver elastography in children. The published data show that all the available shear wave elastography techniques are feasible and accurate for the assessment of liver fibrosis in children with diffuse liver disease due to several etiologies. For the assessment of focal liver lesions evidences are limited and no conclusion can be drawn so far.Abstract: Studies performed using transient elastography (TE), point shear wave elastography (pSWE) and two-dimensional shear wave elastography (2D-SWE) have shown that these techniques are all feasible and accurate in children for the evaluation of liver fibrosis due to several etiologies. However, for some specific pediatric pathologies, such as biliary atresia, the evidence is still limited. As shown in adults, inflammation is a confounding factor when assessing fibrosis severity and care should be taken when interpreting the results. Due to the scarce comparative data between serological tests and elastography techniques in children, a definite conclusion regarding which is the best cannot be drawn. Neither non-invasive elastographic techniques nor laboratory scores allow determination of the presence and the degree of inflammation, necrosis, iron or copper deposits.

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Section: Possible Indications For Shear Wave Elastography (Swe) Measumentioning

confidence: 99%

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

et al. 2018

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“…These include, for example, screening for hepatocellular carcinoma in cirrhotic patients (diagnostic/descriptive) [45-48], monitoring of inflammatory bowel disease (IBD) activity (clinical monitoring) [49-55] or percutaneous therapy of hepatocellular carcinoma (interventional guidance) [56-58]. Regarding some of the abdominal and pelvic conditions that can be identified by digestive US, an abridged list is presented in Table 1 [2, 40, 43, 59, 60].…”

Section: The Role For Us In Gastroenterologymentioning

confidence: 99%

Ultrasonography in Gastroenterology: The Need for Training

Pinto¹,

Azevedo²,

Pereira³

et al. 2018

GE Port J Gastroenterol

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The use of ultrasonography (US) as an imaging modality in medicine has spread across almost every clinical specialty. This diffusion is based on the simplicity, accessibility, portability and affordability of the technique producing real-time high-resolution images using non-ionising radiation. On the other hand, this trend also extended the technique to settings other than healthcare, such as public facilities, private houses or remote sites. This tendency can be observed worldwide, from developing countries to prestigious medical schools and tertiary referral hospitals. Furthermore, point-of-care US (POCUS), i.e., US executed at the patient’s bedside to obtain real-time objective information with diagnostic and clinical monitoring purposes or to guide invasive procedures, has been incorporated in many specialties. In gastroenterology, despite the essential role of endoscopy, clinical practice is highly dependent on non-endoscopic imaging techniques. However, as in other specialties, the indications of US in gastroenterology have been increasing steadily, covering a broad range of conditions. In response to the generalised employment of US by non-radiologists, institutions such as the European Federation of Societies for Ultrasound in Medicine and Biology and the Royal College of Radiologists issued recommendations to ensure high-quality practice. These theoretical and practical requisites include performing a certain number of examinations and mandatory skills in order to achieve certification to execute unsupervised US. Therefore, there is a need for modern gastroenterology to include US as a basic skill in its clinical practice. To ensure the provision of high-quality US, adequate instruction of future specialists should be guaranteed by the gastroenterology departments and required in the residency training programme.

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“…The antibiotic treatment was optimized afterward according to the results of the bacterial cultures and antimicrobial susceptibility analysis of the isolated pathogens. Patients with abscesses larger than 3 cm in diameter predominantly underwent source control by PCD with 7 Fr catheter drainage within 24 hours, except in the following situations: (a) when the lesions were MPLPs, and (b) when there was a safety concern about PCD such as bleeding tendencies and a moderate-high amount of ascites [13,14,24]. The duration of drainage catheter placement ranged from 4 to 10 days.…”

Section: Principal Treatment Strategies For Plamentioning

confidence: 99%

“…Although there is no consensus on the guidelines regarding optimal management strategies of PLA, percutaneous catheter drainage (PCD) is currently the initial treatment option of choice [13,14]. In the majority of patients, PCD is reported to be a safe and sufficient treatment, even for huge PLAs measuring ≥10 cm [15].…”

Section: Introductionmentioning

confidence: 99%

Multilocular Pyogenic Liver Abscess with Poorly Liquefied Content: A Potential Therapeutic Concern

Morii¹,

Yamamoto²,

Nakamura³

et al. 2017

GHOA

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Background: Percutaneous catheter drainage (PCD) is currently the preferred therapeutic procedure of pyogenic liver abscesses (PLAs). However, multilocular poorly liquefied PLAs (MPLPs) are unsuitable for PCD. As reports on MPLPs are scarce, we aimed to explore possible therapeutic strategies for this serious type of PLA. Methods:The medical records of patients with PLA who were hospitalized at our institution between January 2011 to December 2015 were retrospectively reviewed. Demographic factors, biochemical, bacteriological, and imaging results, and treatment outcomes were evaluated.Results: Fourteen patients with MPLPs and 37 with drainable PLAs were identified and included in the study. Clinical characteristics were generally similar between the two groups. Klebsiella pneumoniae accounted for the majority of the culprit pathogens in MPLPs. Patients with MPLPs were managed medically without PCD. Despite this, treatment outcomes were not inferior compared to patients with drainable PLAs. Contrast-enhanced images revealed that the intricate septa of the MPLP maintained its blood perfusion. Most MPLPs did not liquefy over the treatment period. Conclusion:We should remember that MPLP is not rare. The septa may have delivered antibiotics adequately into the MPLPs, thus producing good treatment outcomes. Despite our findings, a high level of suspicion of treatment failure is crucial in these patients to ensure favorable treatment outcomes.

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EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Long Version)

Cited by 49 publications

References 186 publications

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

Ultrasonography in Gastroenterology: The Need for Training

Multilocular Pyogenic Liver Abscess with Poorly Liquefied Content: A Potential Therapeutic Concern

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