Gastroenterological emergencies in the tropics

Cook, Gordon

doi:10.1016/0950-3528(91)90024-u

Cited by 28 publications

(29 citation statements)

References 79 publications

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“…16 As of now liver abscess, both amoebic & pyogenic is a major tropical disease of the gastrointestinal system Pyogenic liver abscess is noted more frequently in U.S whereas, amoebic liver abscess is commonly seen in tropic countries like India. 17,18 The clinical presentation of the patients studied in our series was similar to the descriptions in previous reports. The common symptoms and signs of liver abscess in our study were fever (74.6%), right upper quadrant pain (90.4 %%) and tender hepatomegaly (87.3%).…”

Section: Discussionsupporting

confidence: 86%

Outcome of ultrasound guided pigtail catheter drainage of liver abscesses a prospective study of 126 cases

2015

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Background: With the advances in the intervention radiological techniques the laparotomy for liver abscess has been taken over by the percutaneous ultrasound guided needle aspiration as well as percutaneous ultrasound guided pigtail catheter drainage. This study was undertaken at Govt. Medical College & Associated hospitals, Jammu to assess the outcome of this minimally invasive procedure for Liver abscess. Methods: 126 patients were subjected to pigtail catheter drainage after localization with ultrasonography using modified Seldinger's technique. The pigtail catheters of 8-14 Fr size was were used. All the samples of pus were subjected to microscopy for EH trophozoites, Gram stain and for pus culture and sensitivity. Patient's vitals were monitored for 24 hours. Daily estimation of volume, colour and consistency of the drainage fluid was recorded. Follow-up USG was done on average of 5th postoperative day to assess the shrinkage of cavity and the amount of residual fluid. Removal of catheter was decided based on; the amount of pus drained (<50 ml for three consecutive days); disappearance of symptoms & signs; and USG abdomen showing signs of resolution. Results: The age of the patients in this study ranged from the 21 years to 70 years with M: F ratio of 13.5: 1. Pain, fever, tender hepatomegaly & anaemia were common symptomatology. Right lobe abscess was seen in 74.60% (n=94) of patients. Solitary abscess was seen in 110 patients (87.3%). 66 patients (52.38%) had ALA, 18 patients PLA & 42 were having indeterminate liver abscess. Smaller size catheter specially 8-10 Fr invariably blocks. Common problems encountered were local pain or discomfort due to catheter, peri-tubal leak in few cases, and local wound infection. The average period of continuous catheter drainage was 7.2 days maximum being 26 days. Average duration of hospital stay was 2.45 days. Success rate of the procedure was 96.82% (n=122). 04 patients needed laparotomy. Conclusions: Advances in interventional radiology have influenced management of liver abscess. We in our series of 126 pts of liver abscess conclude that image guided percutaneous pigtail drainage of liver abscess is a safe, effective minimally invasive procedure with negligible morbidity and no mortality. High procedural success rate has almost replaced conventional laparotomy in uncomplicated liver abscess.

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Section: Discussionsupporting

confidence: 86%

Outcome of ultrasound guided pigtail catheter drainage of liver abscesses a prospective study of 126 cases

2015

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“…Significant differences exist in the prevalence of most gastroenterological emergencies in tropical countries compared with temperate countries [1]. Both ethnic and environmental, often clearly defined geographically, factors are relevant.…”

Section: Introductionmentioning

confidence: 99%

A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients

Wiwanitkit

2002

BMC Fam Pract

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BackgroundAmebic liver abscess is a tropical disease with a wide spectrum of clinical presentations. Given the often nonspecific nature of the complaints related to amebic abscess, a retrospective review of patients with confirmed disease to recognize the most common patterns of presentation is useful. Here, we study the clinical presentations of 62 Thai patients with amebic liver abscess. We also compare the clinical presentations of Anti HIV seronegative and Anti HIV seropositive patients.MethodsA retrospective case review was carried out for 62 Thai patients who had been diagnosed with amebic liver abscess. Clinical information was collected, including symptoms and signs, location and number of abscesses. The Anti HIV serology laboratory investigation was also reviewed.ResultsAccording to our study, the common clinical symptoms and signs are abdominal pain (85.5 %), fever and chills (74.2 %), and abdominal tenderness (69.4 %). The location of the abscess was predominantly in the right lobe (74.2 %), and most of patients had a single abscess (77.4 %). Similar trends in clinical presentations were observed in both Anti HIV seropositive and Anti HIV seronegative subjects.ConclusionsIn conclusion, the clinical presentations of our amebic liver abscess patients were similar to those in previous reports. A similarity to those in the pyogenic liver abscess patients can be observed. Nevertheless, we could not detect important significant differences in the clinical presentations between Anti HIV seropositive and Anti HIV seronegative groups of patients.

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“…[12,13] The liver abscess is mainly classified into amoebic and pyogenic. Pyogenic liver abscess which used to be mainly tropical in location is now more common due to increased biliary interventions, stenting, cholecystitis, cholangitis, etc.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Percutaneous Catheter Drainage in Management of Liver Abscesses Compared With Needle Aspiration

N¹,

Hebsur²,

Y³

et al. 2016

jemds

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Gastroenterological emergencies in the tropics

Cited by 28 publications

References 79 publications

Outcome of ultrasound guided pigtail catheter drainage of liver abscesses a prospective study of 126 cases

Outcome of ultrasound guided pigtail catheter drainage of liver abscesses a prospective study of 126 cases

A note on clinical presentations of amebic liver abscess: an overview from 62 Thai patients

Efficacy of Percutaneous Catheter Drainage in Management of Liver Abscesses Compared With Needle Aspiration

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