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Percutaneous management in hepatic alveolar echinococcosis:A sum of single center experiences and a brief overview of the literature

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World Journal of Gastrointestinal Surgery 2023年第3期15卷 398-407页

作者： Suat Eren Sonay Aydın Mecit Kantarci Volkan Kızılgöz Akın Levent Düzgün CanŞenbil okan akhan Department of Radiology Faculty of MedicineAtatürk UniversityErzurum 25100Turkey Department of Radiology Faculty of MedicineErzincan Binali Yıldırım UniversityErzincan 24100Turkey Department of Radiology Hacettepe UniversityAnkara 06090Turkey

BACKGROUND Hepatic alveolar echinococcosis(HAE)is a serious zoonotic infection that affects *** may have a tumor-like appearance at *** treatment of HAE patients is extremely relaxing for *** is a significant human zoonotic infection caused by the fox tapeworm Echinococcus Multilocularis *** possesses the characteristics of an invasive tumor-like lesion due to its infiltrative growth pattern and protracted incubation *** disease is endemic over central Europe,Asia,and North *** To characterize HAE patients who were treated percutaneously,their outcomes,and the major technical features of percutaneous treatment in *** Patients who were treated with percutaneous cyst drainage and/or percutaneous biliary drainage were included in the *** abnormal coagulation values and solid or non-infected HAE with minor necrotic change were *** Thirty-two patients underwent percutaneous cyst drainage,two patients underwent percutaneous biliary drainage,and four patients underwent percutaneous biliary drainage *** radiology is utilized to drain echinococcal necrosis and abscesses within/without the liver,as well as diseased and clogged bile *** Percutaneous drainage of cyst contents and/or biliary channels using a minimally invasive technique is a very *** cyst drainage with albendazole therapy improves quality of life in patients who are unable to undergo surgery,even when the mass resolves with long-term treatment.

关键词： Interventional Radiology Treatment Alveolar echinococcosis Liver

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Hepatic cystic echinococcosis:Percutaneous treatment as an outpatient procedure

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Asian Pacific Journal of Tropical Medicine 2014年第3期7卷 212-215页

作者： Mert Kroglu Bekir Erol Cemil Gürses Baris Türkbey Cem Yunus Bas Ahmet Sükrü Alparslan Banu Kale Kroglu Iclal Erdem Toslak Bülent eki okan akhan Clinic of Radiology Antalya Education and Research Hospital Hacettepe University Faculty of Medicine Department of Radiology Süleyman Demirel University Faculty of Medicine Department of Internal Medicine

Objective:To demonstrate utility and safety of the puncture aspiration injection and reospiration(PAIR)technique for ***:Percutaneous treatment with US guidance was applied to 33 patients for 44 *** treated with the PAIR technique,were *** and catheterization technique were evaluated for efficacy and safety of procedure and complication ***:Thirty-five of 44 cysts were treated with the PAIR and 9 of 44 were treated with the catheterization *** success rate of the cysts Gharbi type 1(CEI)and type 2(Ct3a)treated with the PAIR technique was *** the follow up of 9 cysts treated with the catheterization technique,2 of them(22%)developed cyst infection and 1(11%)developed a biliary ***:The PAIR technique was found to be an effective and safe approach in order to treat Gharbi type 1 and type 2 cysts percutaneously for *** has a very low complication rate in comparison with the catheterization *** every effort should be mode to finish the treatment with PAIR technique.

关键词： Liver Hydatid cyst Percutancous treatment

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Effects of honey as a scolicidal agent on the hepatobiliary system

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World Journal of Gastroenterology 2008年第13期14卷 2085-2088页

作者： Bulent Kilicoglu Kemal Kismet Sibel Serin Kilicoglu Serap Erel Omur Gencay Kadriye Sorkun Esra Erdemli okan akhan Mehmet Ali Akkus Iskender Sayek Department of General Surgery Ankara Training and Research Hospital Ankara 06340 Turkey Department of Histology-Embryology Ufuk University Ankara 06340 Turkey Department of Biology Faculty of Science Hacettepe University Ankara 06340 Turkey Department of Histology-Embryology Ankara University Ankara 06340 Turkey Department of Radiology Hacettepe University Ankara 06340 Turkey Department of General Surgery Hacettepe University Ankara 06340 Turkey

AIM: To examine the effects of 10% diluted honey, which has been shown to be scolicidal, on the liver and biliary system and determine whether it could be used as a scolicidal agent in the presence of biliary-cystic communication. METHODS: Thirty Wistar-Albino rats were divided into two groups. Honey with 10% dilution in the study group and 0.9% saline (NaCl) in the control group were injected into the common bile ducts of rats through a 3-mm duodenotomy. The animals were sacrificed 6 mo after the procedure. Histopathological, biochemical, and radiological examinations were performed for evaluation of side effects. RESULTS: At the end of the sixth month, liver function tests were found to be normal in both groups. The tissue samples of liver and ductus choledochus of the honey group showed no histomorphologic difference from the control group. No stricture on the biliary tree was detected on the retrograde cholangiograms. CONCLUSION: According to these results, we concluded that 10% diluted honey could be used as scolicidal agent safely in the presence of biliary-cystic communication.

关键词：肝胆管系统蜂蜜杀绦虫头节剂药物载体

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