Endoscopic ultrasound-guided drainage of difficult-to-access liver abscesses

Chin, Yung Ka; Asokkumar, Ravishankar

doi:10.1177/2050312120921273

Cited by 19 publications

(22 citation statements)

References 28 publications

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“…Another case report also concluded similar success of EUS-AD with SEMS in liver abscess located in the right liver lobe [ 59 ]. Recently, a review by Chin et al from 15 studies demonstrated 97.5% technical success rate and 95% clinical success rate without any major complications (5% complication due to stent migration) of EUS-AD procedure [ 60 ].…”

Section: Potential Use Of Interventional Eus In Other Liver Conditions (Ascites; Liver Abscess)mentioning

confidence: 99%

The Role of Interventional Endoscopic Ultrasound in Liver Diseases: What Have We Learnt?

Lesmana

Paramitha

Gani

2021

Canadian Journal of Gastroenterology and Hepatology

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Chronic liver disease (CLD) is still a major problem, where the disease progression will lead to liver cirrhosis (LC) or hepatocellular carcinoma (HCC). Portal hypertension (PH) management and loco-regional therapy for HCC have become the cornerstones in advanced liver disease management. Recently, there are studies looking at the potential role of interventional endoscopic ultrasound (EUS) in liver diseases. EUS may be useful in vascular changes of the digestive wall evaluation, performing dynamic assessment of hemodynamic changes, predicting variceal bleeding and rebleeding risk, and assessing the pharmacological effects. In PH management, EUS-guided vascular therapy—which revolves around glue injection, endovascular coil placement/embolization, and combination of both—has shown promising results. As a diagnostic modality for liver cancer, the implementation of EUS in liver diseases is currently not only limited to liver biopsy (EUS-LB) but also in shear-wave elastography (SWE) and portal pressure gradient measurement, as well as portal vein sampling. The application of EUS-guided radiofrequency ablation (EUS-RFA) and tumor injection can also overcome the limitations shown by both modalities without EUS. Nevertheless, establishing EUS as a firm diagnostic and therapeutic modality is still challenging since the performance of interventional EUS requires high expertise and adequate facilities.

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Section: Potential Use Of Interventional Eus In Other Liver Conditions (Ascites; Liver Abscess)mentioning

confidence: 99%

The Role of Interventional Endoscopic Ultrasound in Liver Diseases: What Have We Learnt?

Lesmana

Paramitha

Gani

2021

Canadian Journal of Gastroenterology and Hepatology

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“…The poblem with plastic stents is inadequate drainage. Although FCSEMS provides good drainage, it is not cost effective and has a risk of severe complications like stent migration, perforation and bleeding 10 11 .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound-guided transgastric drainage of radiologically inaccessible left lobe liver abscess involving segment 4, caudate lobe, and left lateral segments using a modified technique

Chandra¹,

Chandra²

2021

Endosc Int Open

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Liver abscess requiring drainage is conventionally managed by interventional radiology-guided percutaneous drainage (PCD). Radiologically inaccessible abscesses are managed with laparoscopic or open surgery, which carries high rates of morbidity and mortality.EUS-guided transluminal liver abscess drainage is minimally invasive and can be an alternative approach for caudate lobe, segment 4, and left lateral segment abscesses. We report on three consecutive patients with radiologically inaccessible left lobe liver abscess involving the caudate lobe, segment 4, and lateral segment in whom EUS-guided transluminal drainage using a modified technique was successful.

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“…CT or USG-guided percutaneous drainage is commonly used, but surgical drainage (either open or laparoscopic) is also used in select cases. Endoscopic USG-guided drainage is a new technique that has been shown to be safe and effective in difficult-to-access liver abscesses 49…”

Section: Liver Abscessmentioning

confidence: 99%

Surgical Emergencies in the ICU

Saini

Ashraf

Babowice

et al. 2023

Critical Care Nursing Quarterly

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Surgical emergencies are common in the critical care setting and require prompt diagnosis and management. Here, we discuss some of the surgical emergencies involving the gastrointestinal, hepatobiliary, and genitourinary sites. In addition, foreign body aspiration and necrotizing soft-tissue infections have been elaborated. Clinicians should be aware of the risk factors, keys examination findings, diagnostic modalities, and medical as well as surgical treatment options for these potentially fatal illnesses.

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Endoscopic ultrasound-guided drainage of difficult-to-access liver abscesses

Cited by 19 publications

References 28 publications

The Role of Interventional Endoscopic Ultrasound in Liver Diseases: What Have We Learnt?

The Role of Interventional Endoscopic Ultrasound in Liver Diseases: What Have We Learnt?

Endoscopic ultrasound-guided transgastric drainage of radiologically inaccessible left lobe liver abscess involving segment 4, caudate lobe, and left lateral segments using a modified technique

Surgical Emergencies in the ICU

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