Pyogenic hepatic abscess with biliary communication

American Journal of Surgery
Masanori Sugiyama, Yutaka Atomi

Abstract

The aims of this study were to compare the effectiveness of percutaneous drainage between pyogenic hepatic abscesses with and those without biliary communication and to evaluate the role of endoscopic biliary stent placement in the treatment of communicating abscesses. Sixty-one patients with hepatic abscesses underwent percutaneous drainage. For communicating abscesses refractory to drainage alone, endoscopic biliary stenting was performed. After drainage, all patients showed improvement in their clinical condition and reduction in abscess size. Drainage alone completely cured abscesses in none of 10 patients with biliary communication and obstruction, in 3 of 10 with communication but without obstruction, and in 37 of 41 without communication. Endoscopic stenting was completely effective in all 7 patients with persistent discharge from a communicating abscess without biliary obstruction. Percutaneous drainage is less effective for communicating abscesses without biliary obstruction than for noncommunicating abscesses. Endoscopic biliary stenting is recommended, if drainage does not achieve a cure.

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Citations

Jun 1, 2006·Seminars in Interventional Radiology·Jonathan Lorenz, Jamie Lee Thomas
May 27, 2010·World Journal of Gastroenterology : WJG·Herwig Cerwenka
Sep 1, 2011·Digestive Diseases and Sciences·Barjesh Chander SharmaRavisankar Reddy
Jun 1, 2010·Journal of the American College of Surgeons·James J MezhirKaren T Brown
Jun 30, 2009·Journal of Vascular and Interventional Radiology : JVIR·Chang-Hsien LiuPeter R Mueller
May 29, 2009·Gastroenterología y hepatología·Paola Quintas LorenzoJavier Fernández Seara
Mar 17, 2015·Journal of Visceral Surgery·S Lardière-DeguelteR Kianmanesh
Oct 11, 2016·ANZ Journal of Surgery·Travis AckermannDaniel Croagh
Mar 24, 2007·The American Journal of Gastroenterology·Thomas SerstéOlivier Le Moine
May 8, 2020·Journal of Vascular and Interventional Radiology : JVIR·Noriyuki UmakoshiYasuyuki Onishi
May 7, 2020·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panel on Interventional RadiologyJonathan M Lorenz

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