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Percutaneous Transhepatic Drainage of Pyogenic Liver Abscess under Ultrasonography Guidance

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Title: Percutaneous Transhepatic Drainage of Pyogenic Liver Abscess under Ultrasonography Guidance
Authors: Izawa, Kunihide / Tanaka, Kimiro / Sasaki, Makoto / Tomioka, Tsutomu / Eto, Toshifumi / Yamaguchi, Takashi / Segawa, Tohoru / Tsunoda, Tukasa / Kanematsu, Takashi
Issue Date: 25-Dec-1992
Citation: Acta Medica Nagasakiensia. 1992, 37(1-4), p.71-74
Abstract: Nineteen patients with liver abscess were treated in our department over a period of 14 years. The cause of the liver abscess was biliary disease in 13 of the 19 or 68%, and 8 of these 13 patients had undergone surgical procedures. The 13 patients with liver abscess received both percutaneous transhepatic abscess drainage (PTAD) under ultrasonography (US) guidance and antibiotics. The remaining 6 were treated with antibiotics alone. Among the 13 cases treated with PTAD, 11(84%) were cured in an average of 22 hospital days. One case (8%) with liver abscess caused by tuberculosis was unchanged and 1 (8%) died of hepatic failure due to liver cirrhosis. There were no complications related to PTAD, but the mortality rate among patients receiving antibiotics only was 33%. PTAD is the most advisable treatment for liver abscess and should be followed by appropriate supplemental management of the original conditions. Moreover, amputation of the distal bile duct is an indispensable part of bile diversion procedures because it prevents reflex cholangitis which may cause future liver abscesses.
URI: http://hdl.handle.net/10069/17559
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 37, No. 1-4

Citable URI : http://hdl.handle.net/10069/17559

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