Retrospective Study of Cystic Echinococcosis in a Recent Cohort of a Referral Center for Liver Surgery

Escolà-Vergé, Laura; Salvador, Fernando; Sánchez-Montalvà, Adrián; Escudero-Fernández, José Miguel; Sulleiro, Elena; Rando, Ariadna; Bilbao, Itxarone; Lázaro, José; Serres, Xavier; Salvador, Josep; Molina, Israel

doi:10.1007/s11605-018-3971-y

Cited by 20 publications

(14 citation statements)

References 25 publications

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“…25 This highlights the well-known problem of poor knowledge of CE, its diagnosis, and clinical management outside referral centers, with attendant unnecessary risks for the patients and private and/or public health costs, especially when surgical management is applied indiscriminately. 16,[29][30][31] It is also interesting that 60% of volunteers presenting to our screening sites reported having already undergone a radiological examination able to detect CE in the 5 years before the screening. On the one hand, this may indicate a self-selection bias in our studied population, as it is possible that people more keen on undergoing medical checkups were also keener on taking advantage of the study screening.…”

Section: Discussionmentioning

confidence: 90%

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Evidence of Low Prevalence of Cystic Echinococcosis in the Catanzaro Province, Calabria Region, Italy

Manciulli

Serraino

D’Alessandro

et al. 2020

The American Journal of Tropical Medicine and Hygiene

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Cystic echinococcosis (CE) is one of the neglected tropical diseases recognized by the WHO. Echinococcus granulosus sensu lato affects more than 1 million people worldwide and is responsible for high costs in the healthcare system. A clear knowledge of the prevalence of CE and its clinical characteristics could have an important impact on the approach to its diagnosis and to the public health planning of treatment and control interventions. We performed a prevalence study in four municipalities of Catanzaro Province, South Italy. This area is considered to be at high risk of CE because of ovine breeding. We screened by abdominal ultrasound 2,426 volunteers, four of whom had abdominal CE. Given the need for prevention and control programs for CE in endemic areas of Italy, a detailed mapping of prevalence of CE, to complement data obtained through hospital discharge records, appears imperative.

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Section: Discussionmentioning

confidence: 90%

“…[7][8][9][10][11][12] Other studies have analyzed clinical cohorts in single centers. [13][14][15][16][17][18][19][20] However, hospital-based studies do not capture asymptomatic cases, and HDR do not account for outpatients. Differently, ultrasoundbased surveys describe more accurately the epidemiology of CE at population level.…”

Section: Introductionmentioning

confidence: 99%

Evidence of Low Prevalence of Cystic Echinococcosis in the Catanzaro Province, Calabria Region, Italy

Manciulli

Serraino

D’Alessandro

et al. 2020

The American Journal of Tropical Medicine and Hygiene

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“…Studies reporting Spanish case series of CE have described percentages of immigrant population ranging from 3% to 14%. 6,7 Since 2015, CE is a mandatory declaration disease in Spain. Moreover, veterinary control programs have been implemented in highest prevalence Spanish regions in the last decades.…”

Section: Discussionmentioning

confidence: 99%

Heterogeneity in Cystic Echinococcosis Management Among Spanish Centers: Results from a National Survey

Salvador

Calabuig

López‐Vélez³

et al. 2020

The American Journal of Tropical Medicine and Hygiene

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The aim of the study was to evaluate the availability of different procedures, diagnostic tests, and treatments, as well as the procedures and techniques used in the management of cystic echinococcosis (CE) in Spain. This was a cross-sectional study performed from September to December 2018 in Spain. A survey directed to CE-treating clinicians was conducted to collect information regarding the center characteristics and the different protocols of management followed. Thirty-nine centers among 76 contacted centers participated in the survey, most of them belonging to the public health system and attending both adult and children. The median number of patients with CE attended during the last three years per center was 15. Percutaneous techniques were used only in seven centers, and surgery was the most frequently used therapeutic approach. Drugs and duration of treatment (both when administered exclusively or when combined with surgery/puncture, aspiration, injection, and reaspiration) were very variable depending on the centers. There is a high variability in the management of CE among Spanish centers. These results stress the importance of promoting the diffusion of existing knowledge, adapting the WHO recommendations to our setting, and referring patients to referral centers at a national level.

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“…Therefore, it is widespread throughout the world and causes about $3 billion dollars in financial costs including livestock losses and treatment each year 11,12 . The disease may be spontaneously limited or it may also be observed with complications 1,13 . Unfortunately, the diagnosis is usually incidental and particularly atypical settlements may escape from attention which leads to increase in morbidity and mortality 2 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of clinical, diagnostic and treatment aspects in hydatid disease: analysis of an 8-year experience

Şen¹,

Demırdal²,

Nemli³

2019

Afr H. Sci.

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Background & Objective: Echinococcosis is still a common health problem. The aim of this study was to discuss our 8-year data in terms of diagnosis, treatment and follow-up of cystic Echinococcosis.Methods: A total of 178 patients who had hydatid cyst were analyzed retrospectively from the hospital records. The diagnosis of hydatid cyst was based on clinical-serological and radiological findings. Treatment response was evaluated with clinical, radiological and serological findings.Results: A total of 178 medical records were evaluated; the male:female ratio was 0.73 and mean age 44.6±16.9 years. The most common symptom was abdominal pain (94, 52.8%). The mean cyst size was 9.5±3.9 cm. Eosinophilia was significantly higher in patients with complicated cyst (35.3%) (p=0.002). The average duration of hospitalization in surgical patients was shorter than non-surgical patients (p=0.026). There was no significant correlation between the preference of scolicidal agent (hypertonic saline, H2O2, povidone iodine) and recurrence in patients who underwent surgery (p>0.05). There was no significant difference between the patients who underwent radical and conservative surgery in terms of complication and recurrence (p=0.077, p=0.557). No significant difference was found between percutaneous and surgical treatment in terms of complication and recurrence (p=0.264, p=0.276).Conclusion: Even though considerable progress has been made, uncertainties remain in the diagnosis and treatment of Echinococcosis. Hence, standardized diagnostic and treatment procedures should be established with well-designed studies.Keywords: Echinococcosis, hydatid cyst, diagnosis, treatment.

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Retrospective Study of Cystic Echinococcosis in a Recent Cohort of a Referral Center for Liver Surgery

Cited by 20 publications

References 25 publications

Evidence of Low Prevalence of Cystic Echinococcosis in the Catanzaro Province, Calabria Region, Italy

Evidence of Low Prevalence of Cystic Echinococcosis in the Catanzaro Province, Calabria Region, Italy

Heterogeneity in Cystic Echinococcosis Management Among Spanish Centers: Results from a National Survey

Evaluation of clinical, diagnostic and treatment aspects in hydatid disease: analysis of an 8-year experience

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