Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage.

Rajak, Chaturbhuj Lal; Gupta, Sanjay; Jain, Sanjay; Chawla, Yogesh; Gulati, Malvika; Suri, Sudha

doi:10.2214/ajr.170.4.9530055

Cited by 260 publications

(311 citation statements)

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“…13 These comorbidities includes gall bladder/common bile duct calculi, cholecystitis, diabetes mellitus, cholangitis, colitis, appendicitis etc. 14 The most common comorbidity 22.66% (60) among both group in our study is found to be gall bladder/common bide duct calculi (15) (in aspiration group 26.66% and catheter group 20%). 15 Among numerous studies, most common comorbidities are described in (Table 1).…”

Section: Resultsmentioning

confidence: 46%

Liver abscess drainage by needle aspiration versus pigtail catheter: a prospective study

Khan

Tekam

2017

Int Surg J

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Background: Liver abscess is a disease of frequent occurrence which figures prominently in the differential diagnosis of upper abdominal and right lower respiratory tract diseases. These includes a recent increase in incidence reflecting more accurate diagnostic techniques especially after 1965 with the advent of radioisotopes scan and later on ultrasonography and CT scan. The reduction in mortality from 90% at the turn of century to the estimated 10-20% today cannot be ascribed to surgery alone.Methods: The study was conducted on 65 patients of liver abscess. Two compared modalities of percutaneous treatment of liver abscess were (1) needle aspiration and (2) pigtail catheter aspiration. All interventions were performed under ultrasonographic guidance. Only those patients having liver abscess/abscesses greater than 5 cm in at least one dimension, liquified & drainable were included in this study.Results: Amoebic liver abscess (63.33%) were more common than pyogenic liver abscess (26.67%). Clinical recovery was significantly earlier in catheter group (average 5 days) than in needle aspiration group (average 6.29 days) (p value 0.001). Average duration of i.v. antibiotic is significantly shorter in catheter group (6.4 days) than in needle aspiration group (9.5 days) (p value 0.002).Conclusions: Thus, our study concluded that in view of greater volume of pus drained in first sitting, early clinical recovery, shorter duration of hospital stay and slightly more success rate continuous catheter drainage is effective percutaneous treatment modality than intermittent needle aspiration.

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Section: Resultsmentioning

confidence: 46%

Liver abscess drainage by needle aspiration versus pigtail catheter: a prospective study

Khan

Tekam

2017

Int Surg J

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“…Needle aspiration, if limited to two attempts, has a high failure rate. 9 A study conducted by S Singh also found in group of 60 patients that, Percutaneous catheter drainage is a better modality as compared to percutaneous needle aspiration especially in larger abscesses which are partially liquefied or with thick pus. 10 Drainage of large multiseptate liver abscesses may be more difficult to achieve percutaneously.…”

Section: Jssn 2015; 18 (2)mentioning

confidence: 95%

Role of surgery in management of liver abscess

Joshi

2017

J. Soc. Surg. Nepal

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“…18 spinal needle with all aseptic precautions. [3][4][5] Percutaneous catheter drainage (PCD) was performed for abscesses volume more than 150 cc, abscess with localised or pleural or pericardial rupture and failure of medical management with abscess volume ≥150 cc.…”

Section: Methodsmentioning

confidence: 99%

A study of the different treatment modalities used in the management of amoebic liver abscesses

2016

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Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage.

Cited by 260 publications

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Liver abscess drainage by needle aspiration versus pigtail catheter: a prospective study

Liver abscess drainage by needle aspiration versus pigtail catheter: a prospective study

Role of surgery in management of liver abscess

A study of the different treatment modalities used in the management of amoebic liver abscesses

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